Nutter, Carla R.
Nutter, Carla R. is an individual health care provider with primary practice located at 10 Martin Ave Ste 225 , Naperville IL 60540-6590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nutter, Carla R. can be contacted via phone (303) 355-5633.Contact Information
Primary practice address
10 Martin Ave Ste 225
Naperville IL 60540-6590
Phone: (303) 355-5633
Fax: (630) 355-5215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00777 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.006881 | Illinois |
Profile Details
| NPI number | 1013192046 |
|---|---|
| LBN Legal business name | Nutter, Carla R. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Mar 2nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013192046 | NPPES |
| West Virginia | Other | 777 | WV STATE LICENSES |
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