Sutherland, Deandra Renee

Sutherland, Deandra Renee is an sole proprietor health care provider with primary practice located at 861 Wesley St , North Baldwin NY 11510-1433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sutherland, Deandra Renee can be contacted via phone (718) 807-8479.

Contact Information

Primary practice address
861 Wesley St North Baldwin NY 11510-1433
Phone: (718) 807-8479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339860 New York
Nursing Service Providers / Registered Nurse 163W00000X 604519 New York

Profile Details

NPI number 1023563707
LBN Legal business name Sutherland, Deandra Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2016
Last updated Aug 24th, 2016 - about 9 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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