Whalio Doctors

NPI 1215122650

Mark Sutton, LPN

Practitioner Licensed Practical Nurse Ellicott City, MD

Practice location

Address
3300 N Ridge Rd Suite 175, Ellicott City, MD 21043-3383
Phone
(410) 750-3474
Mailing address
7400 Village Rd APT. 3, Sykesville, MD 21784-7400

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence LP43095 (MD)

Registry record

NPI
1215122650
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Sep 2007
Record last updated
10 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.