Individual
MATTIE LOUISE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JOHN ROEMMELT DR STE 204, HORSEHEADS, NY 14845-8304
(607) 795-2828
(607) 795-2829
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310622
NY
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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