Basic Information
Provider Information
NPI: 1962593103
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUTCHINSON
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
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Mailing Information
Address1: 720 HARRISON AVE # DOB503
Address2:  
City: BOSTON
State: MA
PostalCode: 021182371
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 119 WINDSOR ST
Address2:  
City: CAMBRIDGE
State: MA
PostalCode: 02139
CountryCode: US
TelephoneNumber: 6176653600
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/27/2006
LastUpdateDate: 08/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X262617MAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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