Individual
MRS. PAMELA RUTH SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN-BC
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 336-8291
Mailing address
9 RIDGEVIEW TER, GOSHEN, NY 10924-5310
(845) 360-5120
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00306600
NJ
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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