Provider Demographics
NPI:1467725267
Name:SUTTON, ANDREA LENAE (ANP-BC, CRNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LENAE
Last Name:SUTTON
Suffix:
Gender:F
Credentials:ANP-BC, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MEDICAL PARK DR E
Mailing Address - Street 2:SUITE 351
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3400
Mailing Address - Country:US
Mailing Address - Phone:205-836-9366
Mailing Address - Fax:205-836-9367
Practice Address - Street 1:48 MEDICAL PARK DR E
Practice Address - Street 2:SUITE 351
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3400
Practice Address - Country:US
Practice Address - Phone:205-836-9366
Practice Address - Fax:205-836-9367
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-059933363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health