Individual
CARLA R. NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1948 THREE FARMS AVE, NAPERVILLE, IL 60540-1105
(630) 355-5633
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-3363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00777
WV
363A00000X
Physician Assistant
085.006881
IL
363AS0400X
Surgical Physician Assistant
Primary
085006881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
777
WV STATE LICENSES
WV
Enumeration date
01/09/2008
Last updated
03/24/2026
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