Sutak, Theresa M

Sutak, Theresa M is an individual health care provider with primary practice located at 1425 N Fairfield Rd Ste 130 , Beavercreek OH 45432-2673. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sutak, Theresa M can be contacted via phone (937) 320-1950.

Contact Information

Primary practice address
1425 N Fairfield Rd Ste 130 Beavercreek OH 45432-2673
Phone: (937) 320-1950
Fax: (937) 320-9332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3010369 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020536 Ohio

Profile Details

NPI number 1881046167
LBN Legal business name Sutak, Theresa M
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jan 6th, 2022 - about 4 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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