Individual
MELISSA A SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
709 HOLLYBROOK DRIVE, SUITE 2301, LONGVIEW, TX 75605-2411
(903) 757-4691
(903) 757-4875
Mailing address
PO BOX 19036, BELFAST, ME 04915-4085
(903) 381-7272
(903) 381-7269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP112666
TX
363LP2300X
Primary Care Nurse Practitioner
657825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165806403
—
TX
Enumeration date
01/03/2007
Last updated
11/09/2021
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