Kaitlin Nicole Sutten, PA-C
Physician Assistant in Van Nuys, CA. Individual provider (NPI-1).
NPI number1962023341
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1962023341
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Nicole Sutten
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Aug 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA58117 | CA | Yes |
Other names
- Kaitlin Nicole Evans (Former Name)
Practice location
16033 Vanowen St Apt 104Van Nuys, CA 91406-4868
Phone 513-767-3910
Mailing address
16033 Vanowen St Apt 104Van Nuys, CA 91406-4868
Phone 513-767-3910
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All 56 Physician Assistant providers in Van Nuys · All 7,072 providers in Van Nuys
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