Individual
ALYSSA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3601 21ST ST, LUBBOCK, TX 79410-1229
(806) 790-0399
(806) 791-0373
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3011848
KY
363LF0000X
Family Nurse Practitioner
Primary
1014551
TX
363LF0000X
Family Nurse Practitioner
3011848
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1J7698
MEDICARE
TX
01
—
8NS451
BCBS
TX
01
—
Q00010700
RAILROAD MEDICARE
TX
Enumeration date
01/19/2018
Last updated
01/20/2022
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