Provider Demographics
NPI:1043227309
Name:HUTCHESON, REBECCA KAY (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:KAY
Last Name:HUTCHESON
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:203 S ROLLIE AVE
Mailing Address - Street 2:BILLING DEPT - CREDENTIALIST
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-1508
Mailing Address - Country:US
Mailing Address - Phone:303-286-4560
Mailing Address - Fax:303-286-4589
Practice Address - Street 1:729 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3340
Practice Address - Country:US
Practice Address - Phone:970-345-2262
Practice Address - Fax:970-345-2265
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0003439-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO87006839Medicaid
CO87006839Medicaid