Provider Demographics
NPI:1215026745
Name:SUTTON, DENISE L (CNS)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:L
Last Name:SUTTON
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 843225
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3225
Mailing Address - Country:US
Mailing Address - Phone:708-633-1234
Mailing Address - Fax:708-342-7100
Practice Address - Street 1:3250 GORDONVILLE RD
Practice Address - Street 2:SUITE 358
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-5056
Practice Address - Country:US
Practice Address - Phone:573-331-3155
Practice Address - Fax:573-331-5096
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO144174364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO616905OtherBCBS
MO427318605Medicaid
MO164180OtherHEALTH ALLIANCE
MO871170OtherHEALTHLINK
MO427318605Medicaid