Provider Demographics
NPI:1770891186
Name:BUTTON, SUE ELLEN (ANP)
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:ELLEN
Last Name:BUTTON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 NORTH BROAD STREET
Mailing Address - Street 2:CHENANGO MEMORIAL HOSPITAL
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1019
Mailing Address - Country:US
Mailing Address - Phone:607-337-4111
Mailing Address - Fax:607-337-4284
Practice Address - Street 1:179 NORTH BROAD STREET
Practice Address - Street 2:CHENANGO MEMORIAL HOSPITAL
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1019
Practice Address - Country:US
Practice Address - Phone:607-337-4111
Practice Address - Fax:607-337-4076
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305409363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health