Doctor Name: | ANNA L BUTCHER |
NPI Number: | 1154765758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | SP015627 |
Business Practice Address: | 3265 County Line Rd Chalfont, PA - 189143712 |
Business Phone Number: | 6094575878 |
Business Fax Number: | |
Mailing Address: | 500 Regatta Dr, Unit 2514 PHILADELPHIA |
State: | PA |
Postal Code: | 191465257 |
Phone Number: | 6094575878 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |