Healthcare Provider Details

I. General information

NPI: 1366939746
Provider Name (Legal Business Name): MEGHAN E HUTCHINGS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MAIN ST
PORT BYRON NY
13140-1314
US

IV. Provider business mailing address

601B W WASHINGTON ST
GENEVA NY
14456-2119
US

V. Phone/Fax

Practice location:
  • Phone: 315-776-9700
  • Fax: 315-776-9701
Mailing address:
  • Phone: 315-787-8151
  • Fax: 315-781-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number341879
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: