Doctor Name: | MRS. GLORIA JEAN HUTZELL |
NPI Number: | 1033101852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRFNP |
License Number: | SP008511 |
Business Practice Address: | 655 Walnut St West Reading, PA - 196111242 |
Business Phone Number: | 6193729222 |
Business Fax Number: | 6103720232 |
Mailing Address: | Po Box 6946, READING |
State: | PA |
Postal Code: | 196100946 |
Phone Number: | 6103729222 |
Fax Number: | 6103720232 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 06/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP008511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |