Basic Information
Provider Information
NPI: 1922545458
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUTCHENS
FirstName: BRITTANY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3181
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462063181
CountryCode: US
TelephoneNumber: 8553810344
FaxNumber: 8007310751
Practice Location
Address1: 907 E LAMAR ALEXANDER PKWY
Address2:  
City: MARYVILLE
State: TN
PostalCode: 378045015
CountryCode: US
TelephoneNumber: 8659837211
FaxNumber: 8659838043
Other Information
ProviderEnumerationDate: 01/23/2017
LastUpdateDate: 01/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X176177TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home