Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Sandra Michelle Sudduth, APRN

Individual provider Registered Nurse · NPI 1386317550

Mrs. Sandra Michelle Sudduth, APRN is a Nurse Practitioner in West Haven, Connecticut. Qualified in 2021, 5 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

950 Campbell Ave
West Haven, CT 06516-2770
Phone: (203) 932-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 9818 (CT)
Registered Nurse Taxonomy 163W00000X · Licence E52898 (CT)

Record details

NPI number1386317550
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESAugust 22, 2021
Certification dateAugust 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated

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