Individual
REBECCA K CUTCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4015
(765) 502-4016
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002769A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610175
ANTHEM
IN
05
—
200936450
—
IN
Enumeration date
09/23/2008
Last updated
02/11/2025
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