Provider Demographics
NPI:1063660546
Name:BUTZ, DEBORAH GAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:GAY
Last Name:BUTZ
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:844 OLD TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-8524
Mailing Address - Country:US
Mailing Address - Phone:530-274-9762
Mailing Address - Fax:530-273-7255
Practice Address - Street 1:887 US HIGHWAY 84 W
Practice Address - Street 2:
Practice Address - City:TEAGUE
Practice Address - State:TX
Practice Address - Zip Code:75860-5141
Practice Address - Country:US
Practice Address - Phone:254-739-5090
Practice Address - Fax:254-739-5666
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2017-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95001465363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care