Healthcare Provider Details

I. General information

NPI: 1740516103
Provider Name (Legal Business Name): GINA CASSIANI HUTCHINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 06/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 ALCOTT ST SUITE 106
WESTMINSTER CO
80031-3817
US

IV. Provider business mailing address

7768 VANCE DR STE B
ARVADA CO
80003-2153
US

V. Phone/Fax

Practice location:
  • Phone: 303-427-7700
  • Fax:
Mailing address:
  • Phone: 303-427-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number169696
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: