Butler, Beverly Diann
Butler, Beverly Diann is an sole proprietor health care provider with primary practice located at 5604 Old Bullard Rd Ste 107 , Tyler TX 75703-4359. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Butler, Beverly Diann can be contacted via phone (903) 630-2197.Contact Information
Primary practice address
5604 Old Bullard Rd Ste 107
Tyler TX 75703-4359
Phone: (903) 630-2197
Fax: (903) 630-2198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP142397 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP142397 | Texas |
Profile Details
NPI number | 1891354494 |
---|---|
LBN Legal business name | Butler, Beverly Diann |
Credentials | APRN, DNP, FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2019 |
Last updated | Jan 18th, 2024 - about 11 months 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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