Provider Demographics
NPI:1477799005
Name:SUTTER, CAROLINE JANE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:JANE
Last Name:SUTTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8902 SIDE SADDLE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2736
Mailing Address - Country:US
Mailing Address - Phone:703-626-4240
Mailing Address - Fax:
Practice Address - Street 1:6699 SPRINGFIELD CENTER DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1913
Practice Address - Country:US
Practice Address - Phone:703-626-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-03
Last Update Date:2009-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017138298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily