Provider Demographics
NPI:1780266643
Name:SUTTON, CAROLINE M (DNP)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:M
Last Name:SUTTON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 E PUTNAM AVE APT A
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2581
Mailing Address - Country:US
Mailing Address - Phone:305-776-8833
Mailing Address - Fax:
Practice Address - Street 1:600 W PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6080
Practice Address - Country:US
Practice Address - Phone:203-810-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily