Provider Demographics
NPI:1760715569
Name:BUTLER, MEREDITH (ARNP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:CHIARELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5016 W CYPRESS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3804
Mailing Address - Country:US
Mailing Address - Phone:813-542-2589
Mailing Address - Fax:813-392-1980
Practice Address - Street 1:5016 W CYPRESS ST STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3804
Practice Address - Country:US
Practice Address - Phone:813-542-2589
Practice Address - Fax:813-392-1980
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1822512363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health