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General NPI Number Information
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NPI Number | 1124353768
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Entity Type | Individual
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Provider Name | NADINE B. SUTTON APN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 9777 QUEENS BLVD
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City | REGO PARK
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State | NY
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Zip | 11374-3335
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Country | US
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Telephone | 646-766-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 45 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11225-3654
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Country | US
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Telephone | 732-630-3871
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15166400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406375
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License Number State | NY
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