Doctor Name: | SHELLEY BUTLER |
NPI Number: | 1033502513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2051372 |
Business Practice Address: | 5522 Trouble Creek Rd Ste 102 New Port Richey, FL - 346525171 |
Business Phone Number: | 7278472847 |
Business Fax Number: | |
Mailing Address: | 5522 Trouble Creek Rd Ste 102, NEW PORT RICHEY |
State: | FL |
Postal Code: | 346525171 |
Phone Number: | 7278472847 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2051372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |