Individual
JOANNA SUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1025 WALNUT ST, PHILADELPHIA, PA 19107-5001
(215) 955-6996
Mailing address
225 CHURCH ST APT 2D, PHILADELPHIA, PA 19106-4525
(609) 457-9131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20593500
NJ
163W00000X
Registered Nurse
RN649831
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023081
PA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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