MEDICARE: MS. FRANCES JOYCE SUTERA RCIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246XC2901X	Cardiovascular Invasive Specialist/Technologist	00015900

General Provider Information

NPI Number	:	1134536923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES JOYCE SUTERA RCIS

Provider Business Mailing Address
First Line	:	1144 DOGWOOD DR
Second Line	:
City	:	MAGGIE VALLEY
State	:	NC
Zip	:	28751-7672
Country	:	US
Telephone Number	:	828-734-7451
Fax Number	:

Provider Business Practice Location Address
First Line	:	1144 DOGWOOD DR
Second Line	:
City	:	MAGGIE VALLEY
State	:	NC
Zip	:	28751-7672
Country	:	US
Telephone Number	:	828-734-7451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	07/14/2014

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