Sutton, Elicia
Sutton, Elicia is an individual health care provider with primary practice located at 940 W Mount Vernon St , Nixa MO 65714-9618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sutton, Elicia can be contacted via phone (417) 724-5280.Contact Information
Primary practice address
940 W Mount Vernon St
Nixa MO 65714-9618
Phone: (417) 724-5280
Fax: (417) 724-5278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2014021867 | Missouri |
Profile Details
| NPI number | 1508272618 |
|---|---|
| LBN Legal business name | Sutton, Elicia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Jul 9th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508272618 | NPPES |
| Missouri | MEDICAID | PENDING |
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