Doctor Name: | MRS. ERRA JO SUTHERLAND |
NPI Number: | 1962461376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | 0024123472 |
Business Practice Address: | 134 Roberts Ave Sw Wise, VA - 242935800 |
Business Phone Number: | 2763288000 |
Business Fax Number: | |
Mailing Address: | Po Box 2913, WISE |
State: | VA |
Postal Code: | 242932913 |
Phone Number: | 2763288000 |
Fax Number: | 2763761020 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0024123472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |