Provider Demographics
NPI:1992538714
Name:SUTTON, REBECCA (APRN, RN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7439 N GALENA AVE
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-6600
Mailing Address - Country:US
Mailing Address - Phone:352-634-0175
Mailing Address - Fax:
Practice Address - Street 1:11371 CORTEZ BLVD STE 240
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5408
Practice Address - Country:US
Practice Address - Phone:833-511-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037491363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care