Provider Demographics
NPI:1376250068
Name:HUTCHINSON, TAMMIE MAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:MAY
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TAMMIE
Other - Middle Name:MAY
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 FORE RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2795
Mailing Address - Country:US
Mailing Address - Phone:207-879-3190
Mailing Address - Fax:207-822-2474
Practice Address - Street 1:155 FORE RIVER PKWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2795
Practice Address - Country:US
Practice Address - Phone:207-879-3190
Practice Address - Fax:207-822-2474
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP221200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily