Sutton, Mary Mcsparren

Sutton, Mary Mcsparren is an individual health care provider with primary practice located at 1631 Lancaster Dr Ste 150 , Grapevine TX 76051-3586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sutton, Mary Mcsparren can be contacted via phone (817) 251-9080.

Contact Information

Primary practice address
1631 Lancaster Dr Ste 150 Grapevine TX 76051-3586
Phone: (817) 251-9080
Fax: (817) 251-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0029767 Oklahoma

Profile Details

NPI number 1124198411
LBN Legal business name Sutton, Mary Mcsparren
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 7th, 2021 - about 5 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 1124198411 NPPES
Texas MEDICAID 421851301

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