Doctor Name: | MS. KARA M HUTTON |
NPI Number: | 1134103278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP |
License Number: | R122257-3 |
Business Practice Address: | 675 Water St Excelsior, MN - 553313072 |
Business Phone Number: | 9529067855 |
Business Fax Number: | 9524704523 |
Mailing Address: | 675 Water St, EXCELSIOR |
State: | MN |
Postal Code: | 553313072 |
Phone Number: | 9529067855 |
Fax Number: | 9524704523 |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R122257-3 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |