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Provider Information for 1114380870



HUNTER HUTCHISON RN

Gender: MALE

Individual NPI: 1114380870

Calendar Last Updated: 2016-03-31

Details

Name Value
NPI 1114380870
Enumeration Date 2016-03-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Primary Practice Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other AL NURSING LICENSE AL 1-103736
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 364SP0808X - Clinical Nurse Specialist Psych/Mental Health AL 1-103736