Mary R Hutton Eyer, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP 60279349 Issued in WA

Practice address

2620 Wheaton Way
Bremerton, WA 98310-3335

Phone

(360) 377-3923

Fax

(360) 373-4988

NPI assigned

May 9, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1134488323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103319",
            "telephone_number": "360-377-3923",
            "fax_number": "360-373-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103335",
            "telephone_number": "360-377-3923",
            "fax_number": "360-373-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON EYER",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP 60279349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134488323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indrawan Husodo, M.D.
• Amanda L Huson
• Chad H. Hutchinson, M.D.
• Kathleen Erin Hutchinson, PT DPT
• Matthew Laurence Kelly Hutchinson
• Cat Thy Ha Huynh, MD
• Autumn Hyatt
• Elizabeth Meyers Hyde
• Thomas Samuel Hyde, PHD
• Staci Joanne Imes, SLP

• Adult Health Nurse Practitioner in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.