Individual
CAROLINE SUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
44 BARCLAY RD, NEWPORT NEWS, VA 23606-1465
(757) 236-3945
Mailing address
185 E 85TH ST APT 11A, NEW YORK, NY 10028-2165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023243
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2018
Last updated
04/26/2019
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