Doctor Name: | MRS. JOSETTE DUTCHER |
NPI Number: | 1033392857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC, FNP |
License Number: | 209.006876 |
Business Practice Address: | 3925 W Elm St Mchenry, IL - 600504361 |
Business Phone Number: | 8559254733 |
Business Fax Number: | |
Mailing Address: | 3925 W Elm St, MCHENRY |
State: | IL |
Postal Code: | 600504361 |
Phone Number: | 8559254733 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.006876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |