Individual
STEPHANIE JOHNSON HUTCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-3494
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-3494
(208) 381-2566
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1341A
ID
363LF0000X
Family Nurse Practitioner
-201150178NP
OR
Other
Enumeration date
12/17/2011
Last updated
07/16/2021
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