Provider Demographics
NPI:1275288102
Name:SUTTON, DANIELLE RENE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RENE
Last Name:SUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2930
Mailing Address - Country:US
Mailing Address - Phone:330-795-1542
Mailing Address - Fax:
Practice Address - Street 1:47 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2930
Practice Address - Country:US
Practice Address - Phone:330-795-1542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health