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NPI Code Detail

MEDICARE: ANNETTE SUTTON

MEDICARE: ANNETTE SUTTON
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS.0031095MS

General Provider Information

NPI Number : 1538668637
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE SUTTON
Provider Business Mailing Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-322-9158
Fax Number :
Provider Business Practice Location Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-953-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2018
Last Update Date : 07/06/2023

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Directions to “ ANNETTE SUTTON ” Practice Location

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