Provider Demographics
NPI:1386890135
Name:CUTTRISS, NICOLAS LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:LEIGH
Last Name:CUTTRISS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:NICOLAS
Other - Middle Name:L
Other - Last Name:CUTTRISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4850 MASSACHUSETTS AVE NW FL 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4850 MASSACHUSETTS AVE NW FL 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2004
Practice Address - Country:US
Practice Address - Phone:202-740-8597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1682672080P0205X
MDD00787292080P0205X
DCMD0428572080P0205X
WAMD611239092080P0205X
NMMD2014-08132080P0205X
CAA1127142080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology