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MR. GERALD L BUTTELWERTH MS, ARNP-BC
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1184605123
Individual Registrant:MR. GERALD L BUTTELWERTH MS, ARNP-BC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
940 PALM DR BELLEAIR BEACH, FL 33786-3341 US
Tel: 727-596-4530 Fax: --
Tel: 727-596-4530 Fax: --
Contact information for business:
940 PALM DR BELLEAIR BEACH, FL 33786-3341 US
Tel: 727-596-4530 Fax: --
Tel: 727-596-4530 Fax: --
Registration Information:
NPI: 1184605123
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP 9198184 |
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN 063105 NP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE # | U3922Z | FL | 01 |
