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JOHANNES MARULITUA HUTAURUK NPI 1861712747


NPI Information

NPI: 1861712747
Provider Name: JOHANNES MARULITUA HUTAURUK
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Get Directions

Johannes Marulitua Hutauruk is a critical care medicine registered nurse in Phoenix, AZ. Johannes Marulitua Hutauruk NPI is 1861712747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
Fax: (602) 263-1631

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC0200XRegistered NurseCritical Care Medicine544346CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.