person
Ida E Sutherland, FNP-BC
Family Nurse Practitioner in Radford, Virginia
NPI 1003925108

Ida E Sutherland is a Family Nurse Practitioner based in Radford, VA and is specialized in Family. Ida E Sutherland practices in Radford, VA and has the professional credentials of FNP-BC. The NPI Number for Ida E Sutherland is 1003925108 and holds a License No. 0024167940 (Virginia).

The current practice location address for Ida E Sutherland is 600 Randolph St, Radford, VA and can be reached out via phone at 540-639-5300 and via fax at 540-639-4653.

Location: 600 Randolph St, Radford, VA, 24141-2428
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Provider Profile Details
NPI Number
1003925108
Provider Name
Ida E Sutherland
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
600 Randolph St, Radford, VA, 24141-2428
Phone Number
540-639-5300
Fax Number
540-639-4653
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003925108 01 VA VA PREMIER
1003925108 05 VA
institution
Provider Business Practice Location Address Details
Address
600 Randolph St
City
State
Zip
24141-2428
Phone Number
540-639-5300
Fax Number
540-639-4653
person
Provider Business Mailing Address Details
Address
600 Randolph St
City
State
Zip
24141-2428
Phone Number
540-639-5300
Fax Number
540-639-4653
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024167940 (Virginia)
Definition
Definition to come...
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