Butler, Melissa R

Butler, Melissa R is an individual health care provider with primary practice located at 5719 Widewaters Pkwy , Syracuse NY 13214-1985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Butler, Melissa R can be contacted via phone (315) 251-3100.

Contact Information

Primary practice address
5719 Widewaters Pkwy Syracuse NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302431 New York

Profile Details

NPI number 1093763617
LBN Legal business name Butler, Melissa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 6th, 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 1093763617 NPPES
New York MEDICAID 02694526

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