Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johannes Marulitua Hutauruk

Individual provider Critical Care Medicine Registered Nurse · NPI 1861712747

Johannes Marulitua Hutauruk is a Critical Care Medicine Registered Nurse in Phoenix, Arizona. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 544346 (CA)

Record details

NPI number1861712747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESJune 2, 2010

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