NPI | 1073253399 |
---|---|
Other Name | STEPHANIE LYNN HUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11019005) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019005) |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL APRN11019005) | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2024-03-13 |