Individual
BETH M COPLEY HUTCHINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
(425) 339-5444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005352
WA
363LF0000X
Family Nurse Practitioner
AP30005352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218311
LIWA
WA
01
—
605960012
FBL
—
01
—
7986H6
BSWA
WA
01
—
7986HU
BSWA
WA
05
—
9651795
—
WA
01
—
AP30005352
STATE LICENSE
WA
Enumeration date
08/10/2006
Last updated
02/11/2020
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