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NPI Code Detail

MEDICARE: JANELLE RENEE BUTTERS FNP-BC

MEDICARE: JANELLE RENEE BUTTERS FNP-BC
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
1363LF0000XFamily Nurse Practitioner95007043CA

General Provider Information

NPI Number : 1609383827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE RENEE BUTTERS FNP-BC
Provider Business Mailing Address
First Line : 4860 Y ST STE 3700
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2307
Country : US
Telephone Number : 916-734-6276
Fax Number : 916-734-6525
Provider Business Practice Location Address
First Line : 3160 FOLSOM BLVD STE 2100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5266
Country : US
Telephone Number : 916-734-3588
Fax Number : 916-451-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 01/09/2018

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