JOHANNES MARULITUA HUTAURUK
NPI 1861712747
Registered Nurse - Critical Care Medicine in Phoenix, AZ

Active since June 02, 2010
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1631 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Johannes Marulitua Hutauruk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNES MARULITUA HUTAURUK (NPI 1861712747) is an individual critical care medicine provider in Phoenix, Arizona, licensed in California (544346) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1861712747
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameJOHANNES MARULITUA HUTAURUK
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200 · Fax (602) 263-1631
Fax(602) 263-1631
Sole ProprietorNo
Enumeration DateJune 2, 2010
NPI 1861712747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in CA · 544346
4212 N 16TH ST, Phoenix, AZ 85016

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johannes Hutauruk's NPI number?

The NPI number for Johannes Hutauruk is 1861712747. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Johannes Hutauruk located?

Johannes Hutauruk practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Johannes Hutauruk's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Johannes Hutauruk was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.