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Individual

SONDRA KAY HUTCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CANP

Contact information

Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1092
(765) 359-2230
(765) 359-2236
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001764A
IN
363LX0106X
Occupational Health Nurse Practitioner
71001764A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000372075
ANTHEM PROVIDER NUMBER
IN
05
200499300
IN
01
9397631
PHCS PID NUMBER
IN
Enumeration date
03/23/2006
Last updated
07/21/2022
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