Healthcare Provider Details

I. General information

NPI: 1861787707
Provider Name (Legal Business Name): CHRISTINA PATRICIA HUTCHINSON ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA PATRICIA FISCHER ANP-C

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 12/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BOULEVARD
PASSAIC NJ
07055
US

IV. Provider business mailing address

350 BOULEVARD
PASSAIC NJ
07055
US

V. Phone/Fax

Practice location:
  • Phone: 973-365-4300
  • Fax: 973-471-5531
Mailing address:
  • Phone: 973-365-4323
  • Fax: 973-471-5531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00329900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: