Healthcare Provider Details

I. General information

NPI: 1639658610
Provider Name (Legal Business Name): FRANCIS IRENE SUTTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 08/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6934 E BEN WHITE BLVD APT 11108
AUSTIN TX
78741-0040
US

IV. Provider business mailing address

2132 FALCON VILLAGE LN APT 13103
PFLUGERVILLE TX
78660-4725
US

V. Phone/Fax

Practice location:
  • Phone: 512-460-9855
  • Fax:
Mailing address:
  • Phone: 512-460-9855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number583584
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: