Individual
MR. KEITH ROBERT SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
41818 N VENTURE DR STE 150, ANTHEM, AZ 85086-3190
(623) 341-8469
Mailing address
41818 N VENTURE DR STE 150, ANTHEM, AZ 85086-3190
(623) 341-8469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3009
AZ
363LF0000X
Family Nurse Practitioner
F334791-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506568
—
AZ
Enumeration date
04/10/2007
Last updated
12/12/2025
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