Samantha Butler
Individual provider Active NPI Registered Nurse · Pocahontas, AR
NPI 1992250609 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1992250609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R088995 (AR)
- Practice address
- 410 Camp Rd
Pocahontas, AR 72455-1487 - Phone
- (870) 892-0027
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R088995 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R088995 | AR | Yes |
Addresses
Primary practice location
410 Camp Rd
Pocahontas, AR 72455-1487
Mailing address
410 Camp Rd
Pocahontas, AR 72455-1487
Phone (870) 892-0027
Other providers in Pocahontas, AR
- Andrew C Bryson
- Randall Keith Burge
- Clarissa D Burgess
- Amanda Louise Burnette
- Eric Busby
- Brittany Nicole Byrd II
- Hannah Cagle
- Rachel Calk
- Camden Medical Supply Inc
- Benjamin Carr
All providers in Pocahontas, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. 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.