Healthcare Provider Details

I. General information

NPI: 1043445976
Provider Name (Legal Business Name): ELEANOR HUTCHENS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SPORTS MEDICINE DR. SUITE 100
FISHERSVILLE VA
22939
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-221-7180
  • Fax: 540-221-7181
Mailing address:
  • Phone: 540-932-5162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0073651
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number0116025469
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: