Individual provider · NPI-1

Branden Hutchinson

Nurse Practitioner, Gerontology · Ashland, KY

NPI number1841024908
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1841024908
Entity type
Individual (NPI-1)
Name
Branden Hutchinson
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2024
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology4027556KYYes
163WG0000X Registered Nurse, General Practice1132185KY

Practice location

2201 Lexington Ave
Ashland, KY 41101-2843

Phone 606-408-4000

Mailing address

Po Box 2379
Ashland, KY 41105-2379

Phone 606-408-9571 · Fax 606-408-6061

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