MEDICARE: HEATHER HUTCHENS MSN, FNP-C, RN, BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71007512A	IN

General Provider Information

NPI Number	:	1548700511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER HUTCHENS MSN, FNP-C, RN, BSN

Provider Business Mailing Address
First Line	:	10421 E COUNTY ROAD 100 N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46213-6913
Country	:	US
Telephone Number	:	317-272-7013
Fax Number	:

Provider Business Practice Location Address
First Line	:	10421 E COUNTY ROAD 100 N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46213-6913
Country	:	US
Telephone Number	:	317-272-7013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2017
Last Update Date	:	03/22/2021

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