Individual
ANGELA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 S BECKHAM AVE, TYLER, TX 75701-1905
(903) 526-4325
Mailing address
833 S BECKHAM AVE, TYLER, TX 75701-1905
(903) 526-4325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F04210539
TX
Other
Enumeration date
08/12/2021
Last updated
08/23/2023
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