Provider Demographics
NPI:1326398835
Name:HUTCHINSON, YOULANDA ALICIA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:YOULANDA
Middle Name:ALICIA
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 LENOX RD
Mailing Address - Street 2:APT. 2F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2714
Mailing Address - Country:US
Mailing Address - Phone:347-420-2941
Mailing Address - Fax:
Practice Address - Street 1:1124 LENOX RD
Practice Address - Street 2:APT. 2F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2714
Practice Address - Country:US
Practice Address - Phone:347-420-2941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306359-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse