Provider Demographics
NPI:1992133292
Name:HUTSON, FRANCES B (RD)
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:B
Last Name:HUTSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 CHATBURN AVE.
Mailing Address - Street 2:HY-VEE
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537
Mailing Address - Country:US
Mailing Address - Phone:712-755-2154
Mailing Address - Fax:
Practice Address - Street 1:2003 CHATBURN AVE.
Practice Address - Street 2:HY-VEE
Practice Address - City:HARLAN
Practice Address - State:IA
Practice Address - Zip Code:51537
Practice Address - Country:US
Practice Address - Phone:712-755-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001793133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered