Individual
LAVETTA HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ROUTE 103 SUPPLY STREET, GARY, WV 24836-0507
(304) 448-2101
(304) 448-3217
Mailing address
221 STEWART ST, WELCH, WV 24801-2027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
38044
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011595
—
WV
Enumeration date
11/13/2006
Last updated
09/20/2010
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