Individual
SCOTTIE L SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2206
(606) 218-7506
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2206
(606) 218-7506
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3006930
KY
364SA2200X
Adult Health Clinical Nurse Specialist
3006930
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100255670
—
KY
Enumeration date
07/22/2013
Last updated
07/20/2022
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