Butts, Angela Marie

Butts, Angela Marie is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Butts, Angela Marie can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1010 Valley St Dayton OH 45404-2070
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.08386 Ohio

Profile Details

NPI number 1184756736
LBN Legal business name Butts, Angela Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Oct 7th, 2023 - about 3 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 1184756736 NPPES
Ohio MEDICAID 3085763

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