Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 3788 | AZ |
Y | 207Q00000X | Family Doctor | DO1503 | NV |
N | 207VX0000X | Obstetrician | 3788 | AZ |
NPI | 1154393528 |
---|---|
Provider Name | Veronica M Sutherland |
First Address | Sparks, NV 89436-7699 |
Second Address | Reno, NV 89509-6145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
717605 | (05) | AZ |
H67760 | (02) |