MR. KEITH ROBERT SUTTON FNP NPI 1487877296

NPI Information

MR. Keith Robert Sutton, FNP is a family nurse practitioner in Anthem, AZ with 18 years of experience. MR. Keith Robert Sutton, FNP NPI is 1487877296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:2006

The provider's business location address is:

41818 N VENTURE DR STE 150
ANTHEM, AZ
ZIP 85086-190
Phone: (623) 341-8469

The NPI 1487877296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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