Provider Demographics
NPI:1033878715
Name:HUTTON, TEIA ELIZABETH
Entity Type:Individual
Prefix:
First Name:TEIA
Middle Name:ELIZABETH
Last Name:HUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 617
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25271-0617
Mailing Address - Country:US
Mailing Address - Phone:304-372-2406
Mailing Address - Fax:
Practice Address - Street 1:217 SOUTH ST.
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:WV
Practice Address - Zip Code:25271-0617
Practice Address - Country:US
Practice Address - Phone:304-372-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker