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Individual
QIANA LENETTE SUTTON
Active
Individual
QIANA LENETTE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA PHD
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015242
NY
363AS0400X
Surgical Physician Assistant
25MP00043700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03788929
—
NY
Enumeration date
04/06/2007
Last updated
07/25/2025
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