Organization
COREY SUTTER FNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COREY SUTTER FNP (FNP)
(505) 820-0446
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, STE J-1, SANTA FE, NM 87505-2143
(505) 820-0446
(505) 820-6142
Mailing address
2019 GALISTEO ST, STE J-1, SANTA FE, NM 87505-2143
(505) 820-0446
(505) 820-6142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29804
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R9598
—
NM
Enumeration date
01/09/2008
Last updated
05/28/2008
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