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NPI Code Detail

MEDICARE: MS. KARA M HUTTON APRN, FNP

MEDICARE: MS. KARA M HUTTON APRN, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR122257-3MN

General Provider Information

NPI Number : 1134103278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARA M HUTTON APRN, FNP
Provider Business Mailing Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-906-7855
Fax Number : 952-470-4523
Provider Business Practice Location Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-906-7855
Fax Number : 952-470-4523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 10/20/2014

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