Provider Demographics
NPI:1770695223
Name:SUTTON, MELANIE KRISTIN (APRN)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:KRISTIN
Last Name:SUTTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4600 MERCY LN STE 210
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-3070
Mailing Address - Country:US
Mailing Address - Phone:479-347-3809
Mailing Address - Fax:479-338-4607
Practice Address - Street 1:4600 MERCY LN STE 210
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-3070
Practice Address - Country:US
Practice Address - Phone:479-347-3809
Practice Address - Fax:479-338-4607
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA002997363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner