Sutton, Mindy Gray

Sutton, Mindy Gray is an individual health care provider with primary practice located at 210 S Main St , Crestview FL 32536-3737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sutton, Mindy Gray can be contacted via phone (850) 226-6801.

Contact Information

Primary practice address
210 S Main St Crestview FL 32536-3737
Phone: (850) 226-6801
Fax: (877) 413-5104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11002601 Florida

Profile Details

NPI number 1902459662
LBN Legal business name Sutton, Mindy Gray
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Apr 16th, 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 1902459662 NPPES
Florida MEDICAID 105993400
Florida MEDICAID 261330

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