Healthcare Provider Details

I. General information

NPI: 1528501038
Provider Name (Legal Business Name): REBECCA ANN HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66B CONCORD ST
WILMINGTON MA
01887-2179
US

IV. Provider business mailing address

2450 SISTER MARY COLUMBA DR
RED BLUFF CA
96080-4356
US

V. Phone/Fax

Practice location:
  • Phone: 978-657-3826
  • Fax: 972-657-5705
Mailing address:
  • Phone: 530-527-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA101844
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1543
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA53999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: