Healthcare Provider Details

I. General information

NPI: 1275014003
Provider Name (Legal Business Name): LAUREN HUTCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 06/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE FL 2
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

469 GLADE MILLS RD
VALENCIA PA
16059-3713
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019149
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: