Provider Demographics
NPI:1255452199
Name:TITUS, SUZANNE SUTTON (ARNP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:SUTTON
Last Name:TITUS
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 1:20375 W 151ST ST STE 301
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7207
Mailing Address - Country:US
Mailing Address - Phone:913-390-8050
Mailing Address - Fax:913-391-8049
Practice Address - Street 1:20375 W 151ST ST STE 301
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7207
Practice Address - Country:US
Practice Address - Phone:913-390-8050
Practice Address - Fax:913-390-8049
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45802363L00000X
MO130113363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner