Healthcare Provider Details

I. General information

NPI: 1154150993
Provider Name (Legal Business Name): CYNTHIA K HUTCHISON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 REMINGTON AVE
GALLATIN TN
37066-7531
US

IV. Provider business mailing address

1391 NW 136TH AVE
SUNRISE FL
33323-2800
US

V. Phone/Fax

Practice location:
  • Phone: 615-979-5955
  • Fax: 770-723-8843
Mailing address:
  • Phone: 615-979-5955
  • Fax: 770-723-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number4254372
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: