Healthcare Provider Details

I. General information

NPI: 1760543748
Provider Name (Legal Business Name): BARBARA ANN SUTTON A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 17TH AVE INTRACOASTAL CARDIOLOGY CENTER
DELRAY BEACH FL
33445-2519
US

IV. Provider business mailing address

1321 SE 2ND AVE
DEERFIELD BEACH FL
33441-6707
US

V. Phone/Fax

Practice location:
  • Phone: 561-278-3323
  • Fax: 561-027-8318
Mailing address:
  • Phone: 954-421-5960
  • Fax: 954-570-9586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1379012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: