Individual
ASHLEE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015029777
MO
363LP2300X
Primary Care Nurse Practitioner
2015029777
MO
Other
Enumeration date
08/18/2015
Last updated
07/21/2023
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