Healthcare Provider Details

I. General information

NPI: 1033923883
Provider Name (Legal Business Name): ANN-MARIE ANTIONETTE HUTCHINSON ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SELMA DR
WINCHESTER VA
22601-3834
US

IV. Provider business mailing address

104 SELMA DR
WINCHESTER VA
22601-3834
US

V. Phone/Fax

Practice location:
  • Phone: 540-687-2800
  • Fax: 540-678-2859
Mailing address:
  • Phone: 540-687-2800
  • Fax: 540-678-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024192248
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: