Provider Demographics
NPI:1356546915
Name:BUTLER, MARTHA ANNE (RN, APRN, BC)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:ANNE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RN, APRN, BC
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:515 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1706
Mailing Address - Country:US
Mailing Address - Phone:617-332-2318
Mailing Address - Fax:617-789-2126
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:QUINN 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-789-2623
Practice Address - Fax:617-789-2126
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156526163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult