Healthcare Provider Details

I. General information

NPI: 1902768328
Provider Name (Legal Business Name): COLLEEN L HUTCHINS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17882 HARRELD RD
BEGGS OK
74421-3375
US

IV. Provider business mailing address

17882 HARRELD RD
BEGGS OK
74421-3375
US

V. Phone/Fax

Practice location:
  • Phone: 918-565-0370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number225223
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: