Provider Demographics
NPI:1255519864
Name:HUTCHINSON, NATASHA KARENA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:KARENA
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:NATASHA
Other - Middle Name:KARENA
Other - Last Name:D'SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 BARN FINCH CIR
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-4878
Mailing Address - Country:US
Mailing Address - Phone:203-632-5832
Mailing Address - Fax:
Practice Address - Street 1:1450 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4405
Practice Address - Country:US
Practice Address - Phone:203-789-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT970002757Medicare UPIN