Provider Demographics
NPI:1013976018
Name:HUTCHINGS, SYLVIA ALICE (CRNA)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ALICE
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:ALICE
Other - Last Name:OSTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 740209
Mailing Address - Street 2:DEPT 1029
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0209
Mailing Address - Country:US
Mailing Address - Phone:941-360-1566
Mailing Address - Fax:941-358-9818
Practice Address - Street 1:3921 JOHNS CREEK CT
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1265
Practice Address - Country:US
Practice Address - Phone:678-475-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN035136367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000626062Medicaid
GA000626062Medicaid
GA43BBBNHMedicare ID - Type Unspecified