Individual
MRS. SHANNON MARIE HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4150 MAPLE RD, BUFFALO, NY 14226-1042
(716) 250-1460
(716) 250-1475
Mailing address
4150 MAPLE RD, BUFFALO, NY 14226-1042
(716) 250-1460
(716) 250-1475
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
759290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
759290
NYS NURSING LICENSE
NY
Enumeration date
10/29/2019
Last updated
10/29/2019
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