Elizabeth Ann Butler, NP
Individual provider Active NPI Women's Health Nurse Practitioner · Colonie, NY
NPI 1255354569 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255354569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- F420498 (NY)
- Practice address
- 24 Computer Dr W
Colonie, NY 12205-1612 - Phone
- (518) 689-7548
- Fax
- (518) 489-9431
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F420498 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGinnis Womens Medical Care, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F420498 | NY | Yes |
Addresses
Primary practice location
24 Computer Dr W
Colonie, NY 12205-1612
Mailing address
5 Martin LN
Ballston Lake, NY 12019-2674
Phone (518) 399-2820
Other providers in Colonie, NY
- Jessalyn Lillian Anagnos
- Sarah Avery
- Fred Boreali
- Pamela Marie Bowers
- Leasa Ann Burch
- Lisa Marie Cairns
- Capital District Home Care Agency, LLC
- Amy Lynn Carroll
- Center for Disbility Services, Inc.
- Centralmed Urgent Care and Primary Care LLP
All providers in Colonie, NY · Women's Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.