Individual
DREW LEWIS NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1420 ELLEN ST, MONROE, NC 28112-5173
(704) 635-7029
(704) 635-7495
Mailing address
208 NORMANDY CT, NICHOLASVILLE, KY 40356-9169
(859) 241-1015
(859) 241-3575
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
175127
KY
222Z00000X
Orthotist
CPO03960
NC
224P00000X
Prosthetist
175127
KY
224P00000X
Prosthetist
Primary
CPO03960
NC
Other
Enumeration date
08/31/2020
Last updated
09/11/2020
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