Archtrina Hutchins
Individual provider Active NPI Licensed Vocational Nurse · Fate, TX
NPI 1124528187 · NPPES record last updated Feb 16, 2018
Key facts
- NPI
- 1124528187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 199575 (TX)
- Practice address
- 216 Citrus Dr
Fate, TX 75189-4316 - Phone
- (601) 597-8965
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199575 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 199575 | TX | Yes |
Addresses
Primary practice location
216 Citrus Dr
Fate, TX 75189-4316
Mailing address
216 Citrus Dr
Fate, TX 75189-4316
Phone (601) 597-8965
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- Sunny Tsunjan Huang
- Jane Izu
- Brittiany Jackson
- Sean L James
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- Steven Clark Langer
All providers in Fate, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.