Individual
CAROLYN SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
(309) 779-5485
Mailing address
2209 ALTOONA RD, BLOOMINGTON, IL 61705-4133
(309) 825-5566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041216297
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209004380
IL
Other
Enumeration date
12/22/2005
Last updated
11/04/2023
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