Provider Demographics
NPI:1346036100
Name:HUTCHINSON, COURTNEY RAE
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RAE
Last Name:HUTCHINSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:RAE
Other - Last Name:HEYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21261 GOLDEN HILLS BLVD
Mailing Address - Street 2:UNIT B
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561
Mailing Address - Country:US
Mailing Address - Phone:661-904-7966
Mailing Address - Fax:
Practice Address - Street 1:16940 CA-14
Practice Address - Street 2:SUITES C-J
Practice Address - City:MOJAVE
Practice Address - State:CA
Practice Address - Zip Code:93501
Practice Address - Country:US
Practice Address - Phone:661-824-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program