Provider Demographics
NPI:1821217829
Name:HUTCHINS, ELAINE SANDRA (LPN)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:SANDRA
Last Name:HUTCHINS
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 1:221 PARKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-2328
Mailing Address - Country:US
Mailing Address - Phone:410-282-8141
Mailing Address - Fax:
Practice Address - Street 1:8320 VENTNOR RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5798
Practice Address - Country:US
Practice Address - Phone:410-437-1418
Practice Address - Fax:410-437-0845
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP09749164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse