Healthcare Provider Details

I. General information

NPI: 1316989742
Provider Name (Legal Business Name): HUTCHENS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 HAMMILL LN
RENO NV
89511-2045
US

IV. Provider business mailing address

520 HAMMILL LN
RENO NV
89511-2045
US

V. Phone/Fax

Practice location:
  • Phone: 775-348-1313
  • Fax: 775-348-1798
Mailing address:
  • Phone: 775-348-1313
  • Fax: 775-348-1798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: FLORA GALLEGOS
Title or Position: ADMINISTRATOR
Credential:
Phone: 775-348-1313