Provider Demographics
NPI:1962052274
Name:SUTTON, SHABRIYA
Entity type:Individual
Prefix:
First Name:SHABRIYA
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:HOBBSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27946-9600
Mailing Address - Country:US
Mailing Address - Phone:252-337-5048
Mailing Address - Fax:
Practice Address - Street 1:272 JOPPA RD
Practice Address - Street 2:
Practice Address - City:HOBBSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27946-9600
Practice Address - Country:US
Practice Address - Phone:252-337-5048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide