Nutter, Carla R.

Nutter, Carla R. is an individual health care provider with primary practice located at 10 Martin Ave Ste 225 , Naperville IL 60540-6590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nutter, Carla R. can be contacted via phone (303) 355-5633.

Contact Information

Primary practice address
10 Martin Ave Ste 225 Naperville IL 60540-6590
Phone: (303) 355-5633
Fax: (630) 355-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00777 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.006881 Illinois

Profile Details

NPI number 1013192046
LBN Legal business name Nutter, Carla R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Mar 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013192046 NPPES
West Virginia Other 777 WV STATE LICENSES

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