Individual
MISS ELIZABETH ANNE HUTCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
(540) 853-0511
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002054911
VA
363A00000X
Physician Assistant
Primary
0110001874
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467678193
—
VA
Enumeration date
04/18/2007
Last updated
08/11/2023
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