Doctor Name: | ASHLEY SUTHERLAND |
NPI Number: | 1093100604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 686853 |
Business Practice Address: | 297 Dingle Ridge Rd Brewster, NY - 105095513 |
Business Phone Number: | 3034350583 |
Business Fax Number: | |
Mailing Address: | 297 Dingle Ridge Rd, BREWSTER |
State: | NY |
Postal Code: | 105095513 |
Phone Number: | 3034350583 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0600X |
License Number: | 686853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |