Provider Demographics
NPI:1629736624
Name:SUTTMAN, CHRISSI (CPLD, CPPD)
Entity Type:Individual
Prefix:
First Name:CHRISSI
Middle Name:
Last Name:SUTTMAN
Suffix:
Gender:F
Credentials:CPLD, CPPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 24TH LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3570
Mailing Address - Country:US
Mailing Address - Phone:561-320-2417
Mailing Address - Fax:
Practice Address - Street 1:2415 24TH LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3570
Practice Address - Country:US
Practice Address - Phone:561-320-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula