Provider Demographics
NPI:1639973381
Name:SUTTON, MARCIA S
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:S
Last Name:SUTTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:S
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MARCIA SUTTON 2109 KENSINGTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885
Mailing Address - Country:US
Mailing Address - Phone:567-644-9927
Mailing Address - Fax:
Practice Address - Street 1:MARCIA SUTTON 2109 KENSINGTON DRIVE
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-1390
Practice Address - Country:US
Practice Address - Phone:567-644-9927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide