Elizabeth Ann Sutton, LPN

Individual provider Active NPI Licensed Practical Nurse · Marlboro, NY

NPI 1952832065 · NPPES record last updated Mar 22, 2017

Key facts

NPI
1952832065
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
292618 (NY)
Practice address
27 South St
Marlboro, NY 12542-6155
Phone
(845) 926-8549
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
292618NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 292618 NY Yes

Addresses

Primary practice location

27 South St
Marlboro, NY 12542-6155

Mailing address

27 South St
Marlboro, NY 12542-6155
Phone (845) 926-8549

Other providers in Marlboro, NY

All providers in Marlboro, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.