Provider Demographics
NPI:1548548647
Name:SUTTON, EMILY ESTELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ESTELLE
Last Name:SUTTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3207
Mailing Address - Country:US
Mailing Address - Phone:802-540-8200
Mailing Address - Fax:802-652-1051
Practice Address - Street 1:89 MAIN ST
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3207
Practice Address - Country:US
Practice Address - Phone:802-540-8200
Practice Address - Fax:802-652-1051
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT32200379163WD0400X
MSP0107941835P0018X
VT033.00829141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator