Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3009775 | KY |
NPI | 1053781385 |
---|---|
Provider Name | Mrs. Arianna Hutchinson |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2015 |
Last Update Date | 19/01/2021 |