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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366548372 NPPES
California Other NPC4529 NP CERTIFICATION

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