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General NPI Number Information
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NPI Number | 1194840082
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Entity Type | Individual
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Provider Name | ANNA NISHIMOTO SUTTON RN, PHN, MSN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 137 NORTH COTTONWOOD STREET
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City | WOODLAND
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State | CA
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Zip | 95695
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Country | US
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Telephone | 530-666-8575
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Fax |
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Provider Business Mailing Address
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Address Line | 2719 CUMBERLAND PL
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City | DAVIS
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State | CA
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Zip | 95616-2908
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Country | US
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Telephone | 650-430-1773
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 577249
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 577249
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 577249
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 577249
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 577249
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License Number State | CA
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