Butler, Cindy Sue

Butler, Cindy Sue is an individual health care provider with primary practice located at 2002 Brookside Dr Suite102, Kingsport TN 37660-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Butler, Cindy Sue can be contacted via phone (423) 245-6000.

Contact Information

Primary practice address
2002 Brookside Dr Suite102 Kingsport TN 37660-4634
Phone: (423) 245-6000
Fax: (423) 245-6062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 90068RN Tennessee

Profile Details

NPI number 1275524381
LBN Legal business name Butler, Cindy Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 28th, 2020 - about 4 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 1275524381 NPPES
Tennessee MEDICAID 3706367
Tennessee Other 4081210
Tennessee Other TN0107

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