Provider Demographics
NPI:1760448807
Name:HUTCHINS, SHILO LEE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SHILO
Middle Name:LEE
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:302 NEWMARKET ST
Mailing Address - Street 2:VA PRIMARY CARE CLINIC PORTSMOUTH CBOC
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03803
Mailing Address - Country:US
Mailing Address - Phone:800-892-8384
Mailing Address - Fax:603-314-1679
Practice Address - Street 1:302 NEWMARKET ST
Practice Address - Street 2:VA PRIMARY CARE CLINIC PORTSMOUTH CBOC
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03803
Practice Address - Country:US
Practice Address - Phone:800-892-8384
Practice Address - Fax:603-314-1679
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH048272-23-05363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care