THAVRY CAROLYNN BUTLER


Address: 2015 W 1st St, Santa Ana, CA 92703-3536
Phone: 7145477745

THAVRY CAROLYNN BUTLER (NPI# 1336464437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336464437
Entity Type Individual
Full Name THAVRY CAROLYNN BUTLER
Credential NP
Practice Address 2015 W 1st St
Santa Ana
CA 92703-3536
Practice Telephone 7145477745
Mailing Telephone 7145477745
Enumeration Date 2010-03-31
Last Update Date 2010-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
8030 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2015 W 1ST ST
City SANTA ANA
State CA
Zip Code 92703-3536

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA ANA
Zip Code 92703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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