1568900793 NPI number — SHERYL SUTFIN FNP-BC

Table of content: SHERYL SUTFIN FNP-BC (NPI 1568900793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568900793 NPI number — SHERYL SUTFIN FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUTFIN
Provider First Name:
SHERYL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568900793
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1367
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANILA
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72442-1367
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-828-2259
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3501 STONEGATE DR STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAGOULD
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72450-7394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-215-0427
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  R053483 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 2019044730 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 122195 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)