Provider Demographics
NPI:1154281293
Name:HUTCHINS, GLENDA FAYE
Entity type:Individual
Prefix:MS
First Name:GLENDA
Middle Name:FAYE
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 GLENSIDE CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45426-2734
Mailing Address - Country:US
Mailing Address - Phone:937-341-3000
Mailing Address - Fax:937-341-3005
Practice Address - Street 1:1300 GENESIS WAY APT 317
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-8474
Practice Address - Country:US
Practice Address - Phone:937-341-3000
Practice Address - Fax:937-341-3005
Is Sole Proprietor?:No
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHT2025U2376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide