Basic Information
Provider Information
NPI: 1871550368
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUTCHINSON
FirstName: ANNE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 838
Address2: BERKSHIRE PEDIATRIC ASSOCIATES PC
City: WILBRAHAM
State: MA
PostalCode: 010950838
CountryCode: US
TelephoneNumber: 5085950531
FaxNumber: 5088295367
Practice Location
Address1: 777 NORTH STREET
Address2: STE 305
City: PITTSFIELD
State: MA
PostalCode: 01201
CountryCode: US
TelephoneNumber: 4134998531
FaxNumber: 4134998560
Other Information
ProviderEnumerationDate: 04/27/2006
LastUpdateDate: 10/10/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X167383MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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