MS. DEBBORA SUTHERLAND


Address: 25 Bond St., Spopc, Springfield, MA 01104
Phone: 4137316000

MS. DEBBORA SUTHERLAND (NPI# 1235290743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235290743
Entity Type Individual
Full Name MS. DEBBORA SUTHERLAND
Credential GNP, BC
Practice Address 25 Bond St.
Spopc
Springfield
MA 01104
Mailing Address 25 Bond Street Dva Spopc
Mhicm
Springfield
MA 01104
Practice Telephone 4137316000
Practice Fax Number 4137884617
Mailing Telephone 4137316000
Mailing Fax Number 4137884617
Enumeration Date 2006-12-12
Last Update Date 2011-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
000698 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 BOND ST.
SPOPC
City SPRINGFIELD
State MA
Zip Code 01104

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City SPRINGFIELD
Zip Code 01104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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