Butler, Staci Lynn

Butler, Staci Lynn is an individual health care provider with primary practice located at 505 E Main St , Salisbury MD 21804-5020. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Butler, Staci Lynn can be contacted via phone (410) 341-3420.

Contact Information

Primary practice address
505 E Main St Salisbury MD 21804-5020
Phone: (410) 341-3420
Fax: (410) 341-3397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R221881 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R21881 Maryland

Profile Details

NPI number 1215545116
LBN Legal business name Butler, Staci Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Feb 15th, 2024 - about last year

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 1215545116 NPPES
Maryland MEDICAID 119591300

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