Healthcare Provider Details

I. General information

NPI: 1306541545
Provider Name (Legal Business Name): CHERYL HUTCHINGS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6614 IRVINE CENTER DR
IRVINE CA
92618-2116
US

IV. Provider business mailing address

20191 CAPE CORAL LN APT 215
HUNTINGTON BEACH CA
92646-8575
US

V. Phone/Fax

Practice location:
  • Phone: 949-418-7518
  • Fax:
Mailing address:
  • Phone: 657-877-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95023126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: