Healthcare Provider Details

I. General information

NPI: 1235674102
Provider Name (Legal Business Name): RACHEL SHAWNE HUTCHINS AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE STE 4101 CAROL G SIMON CANCER CENTER 4TH FLOOR
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 973-644-4844
  • Fax: 973-644-4776
Mailing address:
  • Phone: 973-644-4844
  • Fax: 973-644-4776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00688100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: