ELISABETH MARIE BUTLER


Address: 114 Swift St, Providence, RI 02904-1437
Phone: 4015298720

ELISABETH MARIE BUTLER (NPI# 1588196133) 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) 1588196133
Entity Type Individual
Full Name ELISABETH MARIE BUTLER
Other Name ELISABETH MARIE BUTLER
Credential NURSE PRACTITIONER
Practice Address 114 Swift St
Providence
RI 02904-1437
Practice Telephone 4015298720
Mailing Telephone 4015298720
Enumeration Date 2017-04-03
Last Update Date 2017-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN01588 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 114 SWIFT ST
City PROVIDENCE
State RI
Zip Code 02904-1437

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1366842346 Yetunde Oluwatoyin Shittu Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2014-08-27
1316178676 Annette L Kelleher Nurse Practitioner 50 Maude St, Providence, RI 02908-4325 2009-08-05
1962573204 Cheryl A Fitzgerald Nurse Practitioner 50 Maude St, Elmhurst Extended Care Facilities, Inc., Providence, RI 02908-4325 2006-11-10
1720165582 Barbara Duffy Evans Nurse Practitioner 1085 N Main St, Providence, RI 02904-5719 2006-11-01
1356454250 Nancy Ellen Crandall Nurse Practitioner 2 Dudley St, Suite 470, Providence, RI 02905-3236 2006-08-16
1922013788 Paul J Simkowski Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2006-07-30

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1467712661 Joan Theresa Walton Nurse Practitioner 34 Wilton Ave, Pawtucket, RI 02861-2916 2012-05-22
1881902096 Diane Marie Costa Nurse Practitioner 42 Basswood Dr, Bristol, RI 02809-4912 2010-09-22
1053590224 Christine Marie Hall Nurse Practitioner 155 Wickford Point Rd, North Kingstown, RI 02852-4049 2007-10-24
1194774943 Genesis Elder Care Physician Services LLC Nurse Practitioner 660 Commonwealth Avenue, Warwick, RI 02886-2707 2006-05-09
1295369452 Mary Ann Caouette Nurse Practitioner 475 Kilvert St, Warwick, RI 02886-1379 2020-02-26
1679104236 Jamie Lee Delacruz Nurse Practitioner 475 Kilvert St, Warwick, RI 02886-1379 2020-01-31
1649838400 Colin Brian Burns Nurse Practitioner 25 Wells St, Westerly, RI 02891-2922 2019-06-05
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Competitor

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City PROVIDENCE
Zip Code 02904

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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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