Healthcare Provider Details

I. General information

NPI: 1578707170
Provider Name (Legal Business Name): NORMA LEE HUTCHINSON CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 04/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 UNIVERSITY BLVD W
SILVER SPRING MD
20901-4626
US

IV. Provider business mailing address

607 UNIVERSITY BLVD W
SILVER SPRING MD
20901-4626
US

V. Phone/Fax

Practice location:
  • Phone: 301-592-0920
  • Fax: 301-592-0921
Mailing address:
  • Phone: 301-592-0920
  • Fax: 301-592-0921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberA00095864
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: