Individual
MS. CYNTHIA I HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2860 CREEKSIDE CIR, MEDFORD, OR 97504
(541) 779-8367
(541) 779-7471
Mailing address
PO BOX 1320, JACKSONVILLE, OR 97530
(541) 821-0023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084215
—
OR
Enumeration date
01/20/2006
Last updated
07/08/2007
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