Individual
MS. COREY SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2019 GALISTEO ST, STE J-1, SANTA FE, NM 87505-2143
(505) 820-0446
Mailing address
2019 GALISTEO ST, STE J-1, SANTA FE, NM 87505-2143
(505) 820-0446
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
10/24/2006
Last updated
01/20/2009
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