| Doctor Name: | JOHANNAH BUTLER |
| NPI Number: | 1780014993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | R196037 |
| Business Practice Address: | 9 Schilling Rd Suite 102 Hunt Valley, MD - 210311191 |
| Business Phone Number: | 4107719220 |
| Business Fax Number: | 4107719301 |
| Mailing Address: | 9 Schilling Rd, Suite 102 HUNT VALLEY |
| State: | MD |
| Postal Code: | 210311191 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R196037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |