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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215545116 | NPPES |
Maryland | MEDICAID | 119591300 |
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