Healthcare Provider Details

I. General information

NPI: 1023315504
Provider Name (Legal Business Name): SHERRY LYNN HUTCHCROFT R.N
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2011
Last Update Date: 02/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S PARKER RD
AURORA CO
80014-1622
US

IV. Provider business mailing address

3263 TAFT CT
WHEAT RIDGE CO
80033-5364
US

V. Phone/Fax

Practice location:
  • Phone: 303-636-2947
  • Fax:
Mailing address:
  • Phone: 720-320-6203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number194064
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: