Provider Demographics
NPI:1023016524
Name:BUTI, REBECCA LEIGH (ARNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LEIGH
Last Name:BUTI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:400 PARNASSUS AVE, A581, BOX 0222
Mailing Address - Street 2:UCSF MEDICAL CENTER, DIVISION OF VASCULAR SURGERY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE, 6TH FLOOR, A6110
Practice Address - Street 2:UCSF MEDICAL CENTER, VASCULAR SURGERY CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0222
Practice Address - Country:US
Practice Address - Phone:415-353-2357
Practice Address - Fax:415-353-2669
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA515082363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P37685Medicare UPIN
Y0074XMedicare ID - Type Unspecified