Individual
MRS. SANDRA MICHELLE SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
6 MONHEGE PATH, MARLBOROUGH, CT 06447-1125
(203) 915-9519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E52898
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
9818
CT
Other
Enumeration date
07/26/2021
Last updated
08/22/2021
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