Individual
MARSHA L. SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4602 MACCORKLE AVENUE SE, CHARLESTON, WV 25304
(304) 925-4777
(304) 388-4870
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-7784
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32405
WV
363LF0000X
Family Nurse Practitioner
32405
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00427353
RAIL ROAD MEDICARE
—
Enumeration date
01/25/2007
Last updated
11/17/2020
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