Healthcare Provider Details

I. General information

NPI: 1487518841
Provider Name (Legal Business Name): AMAYA JO HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1238 BEECHWOOD ST NE APT 2
GRAND RAPIDS MI
49505-3829
US

IV. Provider business mailing address

1238 BEECHWOOD ST NE APT 2
GRAND RAPIDS MI
49505-3829
US

V. Phone/Fax

Practice location:
  • Phone: 616-724-6849
  • Fax:
Mailing address:
  • Phone: 616-724-6849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: