Healthcare Provider Details

I. General information

NPI: 1740917301
Provider Name (Legal Business Name): ABIGAIL KRISTINA HUTCHINS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FORBES AVE
PITTSBURGH PA
15213-3410
US

IV. Provider business mailing address

917 CLAYTON ST
GREENSBURG PA
15601-4994
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-8635
  • Fax:
Mailing address:
  • Phone: 724-289-0346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA063811
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: