Provider Demographics
NPI:1538464607
Name:HUTCHINSON, HOLLY J (LPN)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:J
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 1:26894 CROCKER LNDG
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9199
Mailing Address - Country:US
Mailing Address - Phone:440-309-5600
Mailing Address - Fax:
Practice Address - Street 1:26894 CROCKER LNDG
Practice Address - Street 2:
Practice Address - City:COLUMBIA STATION
Practice Address - State:OH
Practice Address - Zip Code:44028-9199
Practice Address - Country:US
Practice Address - Phone:440-309-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.142170-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse