Provider Demographics
NPI:1457014326
Name:BUTLER, ALLISON MARIE (CNM)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9209 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2007
Mailing Address - Country:US
Mailing Address - Phone:240-446-9882
Mailing Address - Fax:
Practice Address - Street 1:620 CHURCHMANS RD STE 101
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1945
Practice Address - Country:US
Practice Address - Phone:302-658-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELK0010210176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife