Provider Demographics
NPI:1033358908
Name:HUTCHINSON, HEATHER SUE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SUE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:SUE
Other - Last Name:LEVEQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2160 APPIAN WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2576
Mailing Address - Country:US
Mailing Address - Phone:510-724-9110
Mailing Address - Fax:916-239-3608
Practice Address - Street 1:2160 APPIAN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2576
Practice Address - Country:US
Practice Address - Phone:510-724-9110
Practice Address - Fax:916-239-3608
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily