ANNA KHUTORETSKY NPI 1083574040

NPI Information

  • NPI: 1083574040
  • Provider Name: ANNA KHUTORETSKY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 460 W FRONT ST
    RED BANK, NJ
    ZIP 07701
  • Phone: (917) 476-7786

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NPI Details

Anna Khutoretsky is a psychiatric/mental health nurse practitioner in Red Bank, NJ. Anna Khutoretsky NPI is 1083574040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 W FRONT ST
RED BANK, NJ
ZIP 07701-512
Phone: (917) 476-7786

The enumeration date for this NPI number is 11/13/2025 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ15462000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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