Healthcare Provider Details

I. General information

NPI: 1285704155
Provider Name (Legal Business Name): CHERI KAY HUTCHINS CHERI HUTCHINS, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERI KAY BUCHANAN CHERI HUTCHINS, CRNA

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 EDDIE HOFFMAN DRIVE
BETHEL AK
99559
US

IV. Provider business mailing address

PO BOX 204
HAINES AK
99827-0204
US

V. Phone/Fax

Practice location:
  • Phone: 907-543-7979
  • Fax: 907-543-6362
Mailing address:
  • Phone: 907-766-2048
  • Fax: 907-766-3148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number143
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: