Butler, Tanita Breyannen Denae
Butler, Tanita Breyannen Denae is an individual health care provider with primary practice located at 2200 Matlock Rd , Mansfield TX 76063-3855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butler, Tanita Breyannen Denae can be contacted via phone (817) 453-0267.Contact Information
Primary practice address
2200 Matlock Rd
Mansfield TX 76063-3855
Phone: (817) 453-0267
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95011803 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1080257 | Texas |
Profile Details
| NPI number | 1073773545 |
|---|---|
| LBN Legal business name | Butler, Tanita Breyannen Denae |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Aug 5th, 2022 - about 2 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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