Individual
WILLIAM MARK SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., CRNP.
Contact information
Practice address
700 QUINCY AVE, MOSES TAYLOR HOSPITAL EMERGENCY DEPARTMENT, SCRANTON, PA 18510-1724
(570) 340-2900
Mailing address
51 KINGSWOOD DR, DALLAS, PA 18612-1422
(570) 675-2784
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
TP004895M
PA
Other
Enumeration date
10/11/2006
Last updated
04/01/2011
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