Butala, Suzanne Rachelle
Butala, Suzanne Rachelle is an individual health care provider with primary practice located at 20701 Beach Blvd #277, Huntington Beach CA 92648-4908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Butala, Suzanne Rachelle can be contacted via phone (714) 661-8439.Contact Information
Primary practice address
20701 Beach Blvd #277
Huntington Beach CA 92648-4908
Phone: (714) 661-8439
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NPF4529 | California |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 256495 | California |
Profile Details
NPI number | 1366548372 |
---|---|
LBN Legal business name | Butala, Suzanne Rachelle |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2006 |
Last updated | Feb 11th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366548372 | NPPES |
California | Other | NPC4529 | NP CERTIFICATION |
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