Individual
DR. KUDORA MELODY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
Mailing address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 366-9100
(610) 347-4737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN91678NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91678
WV RN LICENSE
WV
01
—
APRN91678NP
WV NP LICENSE
WV
Enumeration date
12/18/2017
Last updated
08/18/2023
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