Provider Demographics
NPI:1912126103
Name:BUTCHER, SABRENA LYNN (APN)
Entity Type:Individual
Prefix:MRS
First Name:SABRENA
Middle Name:LYNN
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:88 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3239
Mailing Address - Country:US
Mailing Address - Phone:732-567-3229
Mailing Address - Fax:
Practice Address - Street 1:75 VERONICA AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5002
Practice Address - Country:US
Practice Address - Phone:732-247-7444
Practice Address - Fax:732-247-5119
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2018-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00785100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health