Provider Demographics
NPI:1508284480
Name:HUTCHINSON, BRIAN SCOTT (APRN)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:SCOTT
Last Name:HUTCHINSON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:6475 S YALE AVE STE 308
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7802
Practice Address - Country:US
Practice Address - Phone:918-499-4000
Practice Address - Fax:918-499-4001
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA16048NP363LA2100X
OK222285363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0107933Medicaid
OH0107933Medicaid
OHH356490Medicare PIN