Butts, Carrissa A

Butts, Carrissa A is an individual health care provider with primary practice located at 10370 Haligus Rd Ste 200 , Huntley IL 60142-9582. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Butts, Carrissa A can be contacted via phone (815) 759-8070.

Contact Information

Primary practice address
10370 Haligus Rd Ste 200 Huntley IL 60142-9582
Phone: (815) 759-8070
Fax: (815) 759-4931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209015283 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015283 Illinois

Profile Details

NPI number 1972048528
LBN Legal business name Butts, Carrissa A
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2017
Last updated Nov 2nd, 2022 - 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 1972048528 NPPES
Illinois Other 1720371669 GROUP PRACTICE NPI

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