Healthcare Provider Details

I. General information

NPI: 1417518820
Provider Name (Legal Business Name): NELDINA RANJITHA HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 CENTRE PARK DR # 713
COLUMBIA MD
21045-2177
US

IV. Provider business mailing address

8775 CENTRE PARK DR # 713
COLUMBIA MD
21045-2177
US

V. Phone/Fax

Practice location:
  • Phone: 410-645-0204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: