Individual
ERICA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
16 RITTER ST, SAN RAFAEL, CA 94901-3323
(415) 235-0452
Mailing address
16 RITTER ST, SAN RAFAEL, CA 94901-3323
(415) 235-0452
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
636114
CA
363LF0000X
Family Nurse Practitioner
21514
CA
Other
Enumeration date
06/15/2011
Last updated
03/28/2013
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