Healthcare Provider Details

I. General information

NPI: 1255456596
Provider Name (Legal Business Name): KAMI HUTCHINS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 04/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 E 7TH AVE
ANCHORAGE AK
99501-3607
US

IV. Provider business mailing address

2702 WEST 27TH AVENUE
ANCHORAGE AK
99517-1803
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-2965
  • Fax:
Mailing address:
  • Phone: 907-561-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number12042
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00161522
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number363
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007146
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: