Provider Demographics
NPI:1972678258
Name:HUTCHINSON, CAROL ANN (ANP)
Entity Type:Individual
Prefix:MS
First Name:CAROL ANN
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 44 142ND ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5043
Mailing Address - Country:US
Mailing Address - Phone:718-445-2999
Mailing Address - Fax:
Practice Address - Street 1:102 01 66TH ROAD
Practice Address - Street 2:PST
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-830-4316
Practice Address - Fax:718-830-1158
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302744363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health