Healthcare Provider Details

I. General information

NPI: 1962510479
Provider Name (Legal Business Name): MONICA R HUTCHINS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 LONE OAK RD SUITE 415
PADUCAH KY
42003-7913
US

IV. Provider business mailing address

PO BOX 7129
PADUCAH KY
42002-7129
US

V. Phone/Fax

Practice location:
  • Phone: 270-442-0103
  • Fax: 270-442-0109
Mailing address:
  • Phone: 270-442-0103
  • Fax: 270-442-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3437P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: