Sutton, Berrien W

Sutton, Berrien W is an sole proprietor health care provider with primary practice located at 211 Fairways Blvd N , Tullahoma TN 37388-4813. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Sutton, Berrien W can be contacted via phone (615) 948-7662.

Contact Information

Primary practice address
211 Fairways Blvd N Tullahoma TN 37388-4813
Phone: (615) 948-7662
Fax: (615) 713-5100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN0000008322 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000008322 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000008322 Tennessee

Profile Details

NPI number 1487621843
LBN Legal business name Sutton, Berrien W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Nov 30th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487621843 NPPES
Tennessee Other 103I503726 MEDICARE PTAN

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