Individual
ELAINE HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
205 W HARTFORD AVE STE 112, PONCA CITY, OK 74601-1547
(580) 382-1534
Mailing address
205 W HARTFORD AVE STE 112, PONCA CITY, OK 74601-1547
(580) 382-1534
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V631671115
OK
390200000X
Student in an Organized Health Care Education/Training Program
37V631671115
OK
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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