Provider Demographics
NPI:1861685315
Name:BUTTNER, PATRICIA BARBARA (RN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:BARBARA
Last Name:BUTTNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 AUBIN ST
Mailing Address - Street 2:#3
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2921
Mailing Address - Country:US
Mailing Address - Phone:978-504-9722
Mailing Address - Fax:
Practice Address - Street 1:27 COLEMAN RD
Practice Address - Street 2:
Practice Address - City:BYFIELD
Practice Address - State:MA
Practice Address - Zip Code:01922-2803
Practice Address - Country:US
Practice Address - Phone:978-465-0548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA119876163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse