Provider Demographics
NPI:1770101024
Name:SUTTON, VERONICA N (RN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:N
Last Name:SUTTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W RENNER RD APT 2112
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1354
Mailing Address - Country:US
Mailing Address - Phone:501-269-4718
Mailing Address - Fax:
Practice Address - Street 1:280 W RENNER RD APT 2112
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1354
Practice Address - Country:US
Practice Address - Phone:501-269-4718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX933063163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse