NPI Search for Physicians and Health Care Providers
JOAN P. BUTLER MSN, FNP-C, PA-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1407866080
Individual Registrant:
JOAN P. BUTLER MSN, FNP-C, PA-C
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3304 RENNER DR FORTUNA, CA 95540-7102 US
Tel: 707-725-4477 Fax: 707-725-9209
Contact information for business:
670 9TH ST SUITE 203 ARCATA, CA 95521-6248 US
Tel: 707-826-8633 Fax: 707-826-8638
Registration Information:
NPI: 1407866080
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
| CA | FNP12891 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| RN296119 | CA | 05 |
HEALTH CARE JOBS CA - Page 1