Provider Demographics
NPI:1356938716
Name:SUTTON, CHRISTIANAH (FNP - C)
Entity type:Individual
Prefix:
First Name:CHRISTIANAH
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:FNP - C
Other - Prefix:
Other - First Name:CHRISTIANAH
Other - Middle Name:O
Other - Last Name:NWULI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4903 VEGAS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2367
Mailing Address - Country:US
Mailing Address - Phone:702-998-1200
Mailing Address - Fax:
Practice Address - Street 1:4903 VEGAS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2367
Practice Address - Country:US
Practice Address - Phone:702-998-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV834083363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily