MEDICARE: HAIYAN HUTCHISON

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
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1629881792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAIYAN HUTCHISON

Provider Business Mailing Address
First Line	:	5708 NEVADA ST
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2631
Country	:	US
Telephone Number	:	443-636-7949
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 NEVADA ST
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2631
Country	:	US
Telephone Number	:	443-636-7949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	01/30/2025

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Directions to “ HAIYAN HUTCHISON ” Practice Location

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