Individual
ANNETTE DH SUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 AUSTIN AVE NW, MASSILLON, OH 44646-3554
(330) 837-7200
(330) 837-7572
Mailing address
PO BOX 74994, CLEVELAND, OH 44194-1077
(614) 430-5724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN147692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328577
ANTHEM
—
05
—
0754625
—
OH
01
—
P00109453
MEDICARE RAILROAD
—
Enumeration date
05/19/2006
Last updated
08/15/2013
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