Provider Demographics
NPI:1659800696
Name:HUTKIN, PATRICIA L (FAMILY NP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:HUTKIN
Suffix:
Gender:F
Credentials:FAMILY NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 HEWES AVE
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4219
Mailing Address - Country:US
Mailing Address - Phone:302-437-9190
Mailing Address - Fax:
Practice Address - Street 1:4923 OGLETOWN STANTON RD STE 110
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2081
Practice Address - Country:US
Practice Address - Phone:615-488-0702
Practice Address - Fax:615-488-0708
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily