Individual
ELIZABETH HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP, GLENS FALLS, NY 12801-4363
(518) 926-1770
(518) 926-1799
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-1770
(518) 926-1799
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03371620
—
NY
01
—
P00987924
RR MEDICARE
NY
Enumeration date
07/26/2011
Last updated
06/07/2012
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