Individual provider · Type 1 NPI
Sandra Michelle Sudduth, APRN
Primary Care Nurse Practitioner · West Haven, CT
NPI number
1386317550
Active
Practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
6 Monhege Path
Marlborough, CT 06447-1125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | E52898 (CT) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 9818 (CT) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1386317550
Sandra Michelle Sudduth, APRN's National Provider Identifier is 1386317550, issued on Jul 26, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in West Haven, CT. The record was last updated on Aug 22, 2021.