Healthcare Provider Details
I. General information
NPI: 1912828575
Provider Name (Legal Business Name): WHITNIE HUTCHISON BS, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9501 BENT CREEK PL
UPPER MARLBORO MD
20772-3994
US
IV. Provider business mailing address
9501 BENT CREEK PL
UPPER MARLBORO MD
20772-3994
US
V. Phone/Fax
- Phone: 510-386-8763
- Fax:
- Phone: 510-386-8763
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: