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Individual

MRS. KRISTIN ROSE SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
605 HOMESTEAD CT, COLWICH, KS 67030-9215
(316) 204-8301
Mailing address
605 HOMESTEAD CT, COLWICH, KS 67030-9215
(316) 204-8301

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-104951-062
KS
363LF0000X
Family Nurse Practitioner
Primary
53-83139-062
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2024004668
FAMILY NURSE PRACTITIONER CERTIFICATION (FNP-BC)
KS
Enumeration date
01/26/2024
Last updated
09/30/2024
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