Provider Demographics
NPI:1346629524
Name:HUTCHISON, KATRINA (LPN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:HUTCHISON
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 1:11088 SMOKE RD SW
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9467
Mailing Address - Country:US
Mailing Address - Phone:740-577-7544
Mailing Address - Fax:
Practice Address - Street 1:11088 SMOKE RD SW
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-9467
Practice Address - Country:US
Practice Address - Phone:740-577-7544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.137089-M-IV372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider