Individual
MRS. TRISHA RENE HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
940 E HATTIE GREENE, FLAGSTAFF, AZ 86001-1918
(928) 607-2607
Mailing address
940 E HATTIE GREENE, FLAGSTAFF, AZ 86001-1918
(928) 607-2607
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN094538
AZ
363LA2100X
Acute Care Nurse Practitioner
AP5442
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
209030762
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
903354
—
AZ
Enumeration date
02/08/2007
Last updated
12/19/2024
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