MEDICARE: DONNA BUTTERFIELD N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	124215	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NP9925	OTHER	MA	MABC

General Provider Information

NPI Number	:	1245334655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA BUTTERFIELD N.P.

Provider Business Mailing Address
First Line	:	28 SOUTH AVE
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-4532
Country	:	US
Telephone Number	:	508-226-2290
Fax Number	:	508-226-8552

Provider Business Practice Location Address
First Line	:	28 SOUTH AVE
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-4532
Country	:	US
Telephone Number	:	508-226-2290
Fax Number	:	508-226-8552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	07/08/2007

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