Provider Demographics
NPI:1447682828
Name:SAUTER, JANETTE MARIE RODERICK (PA-C)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:MARIE RODERICK
Last Name:SAUTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:166 DEFENSE HWY STE 302
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8926
Mailing Address - Country:US
Mailing Address - Phone:410-991-6586
Mailing Address - Fax:
Practice Address - Street 1:2121 15TH ST N STE 100A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2686
Practice Address - Country:US
Practice Address - Phone:703-712-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD363A00000X
DC363A00000X
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant