COREY SUTTER FNP NPI 1023293990

NPI Information

NPI: 1023293990
Provider Name: COREY SUTTER FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2019 GALISTEO ST
STE J-1
SANTA FE, NM
ZIP 87505
Phone: (505) 820-0446
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COREY SUTTER FNP is a family nurse practitioner in Santa Fe, NM. COREY SUTTER FNP NPI is 1023293990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2019 GALISTEO ST
STE J-1
SANTA FE, NM
ZIP 87505-143
Phone: (505) 820-0446
Fax: (505) 820-6142

The provider's authorized official is Corey Sutter .
The authorized official title is Fnp and has the following contact phone number (505) 820-0446.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 5/28/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R29804	NEW MEXICO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P61693	MEDICARE UPIN	NEW MEXICO
2	100521088	MEDICARE PIN	NEW MEXICO
3	000R9598	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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