Phyllis K Butler, FNP
Individual provider Active NPI Family Nurse Practitioner · Mariposa, CA
NPI 1508921487 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1508921487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0073142-22 (CA)
- Practice address
- 5300 Hwy 49 N.
Mariposa, CA 95338 - Phone
- (209) 966-3672
- Fax
- (209) 966-5548
- NPI assigned
- Dec 22, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0073142-22 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0073142-22 | CA | Yes |
Addresses
Primary practice location
5300 Hwy 49 N.
Mariposa, CA 95338
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211026 | Other | CA | RN# |
Other providers in Mariposa, CA
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- Susanne Kay Bullis
- Sarah Burkey
- Robert Dale Burtch
- Cali Performance Physical Therapy
- Camarena Health
- Jack Caraco
- Lisa Cristi Carisio
- Jacqueline Ann Carway
All providers in Mariposa, CA · Family 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 25, 2014. 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.