Alice L. Butzlaff, MSN, RN, NP
Individual provider Active NPI Nurse Practitioner · Seaside, CA
NPI 1376597989 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1376597989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP6652 (CA)
- Practice address
- 625 Hilby Ave
Seaside, CA 93955-5720 - Phone
- (831) 394-1691
- Fax
- (831) 394-1870
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP6652 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP6652 | CA | Yes |
Addresses
Primary practice location
625 Hilby Ave
Seaside, CA 93955-5720
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619
Other providers in Seaside, CA
- Susan Bradley
- Martha Mitchell Brazwell
- Brian P. Rector, Chiropractic, Inc.
- Jodi Leila Brown
- Jorge Jesus Bru
- Katelyn Elizabeth-Taylor Cassibba
- Cecilia Loleng
- Merrin Emigh Cenicola
- Central Coast Caring Hands LLC
- Central Coast Pediatric Dental Group
All providers in Seaside, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. 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.