Provider Demographics
NPI:1679188726
Name:HUTTON, DENISE M (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:HUTTON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:DESK A-60
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0002
Mailing Address - Country:US
Mailing Address - Phone:216-444-6908
Mailing Address - Fax:216-444-9419
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK A-60
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-444-6908
Practice Address - Fax:216-444-9419
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027514363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner