Provider Demographics
NPI:1467230300
Name:SUTTON, DIONNE RACHELLE
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:RACHELLE
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 1:47610 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1217
Mailing Address - Country:US
Mailing Address - Phone:248-449-2749
Mailing Address - Fax:
Practice Address - Street 1:23551 SUTTON DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3348
Practice Address - Country:US
Practice Address - Phone:248-358-4954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator