Individual
ADELLE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 982-1244
Mailing address
101 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 982-1244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-140172
AL
363LF0000X
Family Nurse Practitioner
Primary
3010083
KY
Other
Enumeration date
09/28/2015
Last updated
10/11/2016
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