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NPI Code Detail

MEDICARE: AMANDA MARIE HUTCHINSON CRNP

MEDICARE:   AMANDA MARIE HUTCHINSON  CRNP
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 Practitioner1-185686AL

General Provider Information

NPI Number : 1598423485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE HUTCHINSON CRNP
Provider Business Mailing Address
First Line : 1810 STADIUM DR STE 210
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-3179
Country : US
Telephone Number : 334-614-4531
Fax Number :
Provider Business Practice Location Address
First Line : 1810 STADIUM DR STE 210
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-3179
Country : US
Telephone Number : 334-614-4531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/07/2021

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Directions to “ AMANDA MARIE HUTCHINSON CRNP” Practice Location

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