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NPI Code Detail

MEDICARE: MRS. RACHEL HUTZLER FNP

MEDICARE:  MRS. RACHEL  HUTZLER  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 PractitionerAP5052AZ

General Provider Information

NPI Number : 1760817050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL HUTZLER FNP
Provider Business Mailing Address
First Line : 17900 N PORTER RD
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-4228
Country : US
Telephone Number : 520-233-2574
Fax Number :
Provider Business Practice Location Address
First Line : 17900 N PORTER RD
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-4228
Country : US
Telephone Number : 520-233-2574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 09/05/2013

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Directions to “ MRS. RACHEL HUTZLER FNP” Practice Location

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