Ida E Sutherland FNP-BC

NPI 1003925108 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003925108
Gender Female
Enumeration Date 08/30/2006
Last Updated 09/20/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
101 1ST ST NW
PULASKI VA, 24301-5605, US
Phone (540) 980-0550
Fax (540) 980-5010
Business Location
101 1ST ST NW
PULASKI VA, 24301-5605, US
Phone (540) 980-0550
Fax (540) 980-5010
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024167940
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According to our database, Ida E Sutherland FNP-BC NPI is 1003925108, taxonomy code is 363LF0000X and license number is 0024167940, license state is located at Virginia. Ida E Sutherland FNP-BC physically located at 101 1st St Nw, Pulaski VA, 24301-5605. NPI Number Ida E Sutherland FNP-BC has the Individual type.

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1003925108 NPI number is provided on an as is basis without warranty of any kind. 1003925108 is maintained by the National Plan & Provider Enumeration System. The contents of Ida E Sutherland FNP-BC are for informational purposes only.