Individual provider · Type 1 NPI

Theresa M. Sutak, MSN, APRN, FNP-C

Family Nurse Practitioner · Beavercreek, OH

NPI number 1881046167 Active

Practice location

1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2673

Fax (937) 320-9332

Mailing address

9000 North Main Street, Suite 332
Englewood, OH 45415

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X3010369 (KY)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.020536 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1881046167

Theresa M. Sutak, MSN, APRN, FNP-C's National Provider Identifier is 1881046167, issued on Jul 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beavercreek, OH. The record was last updated on Jan 6, 2022.