Provider Demographics
NPI:1659619765
Name:SUTTON-ARANSEVIA, JOYLENE WINIFRED (ARNP)
Entity Type:Individual
Prefix:
First Name:JOYLENE
Middle Name:WINIFRED
Last Name:SUTTON-ARANSEVIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 THAMES WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4283
Mailing Address - Country:US
Mailing Address - Phone:954-559-6578
Mailing Address - Fax:
Practice Address - Street 1:1800 N BEAUREGARD ST STE 350
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1725
Practice Address - Country:US
Practice Address - Phone:703-933-8125
Practice Address - Fax:703-933-8216
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008253363L00000X
GARN152000363L00000X
VA0024182143363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner