Provider Demographics
NPI:1063841955
Name:BUTZ, SUZANNE A (FNP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:A
Last Name:BUTZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:A
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3802 CATCLAW DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8253
Mailing Address - Country:US
Mailing Address - Phone:325-690-1500
Mailing Address - Fax:325-690-1578
Practice Address - Street 1:3802 CALCLAW DRIVE
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8253
Practice Address - Country:US
Practice Address - Phone:325-690-1500
Practice Address - Fax:325-690-1578
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily