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NPI Code Detail

MEDICARE: MRS. ELIZABETH DANIELLE BUTLER FNP

MEDICARE: MRS. ELIZABETH DANIELLE BUTLER FNP
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 Practitioner24835SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720665276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH DANIELLE BUTLER FNP
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 3885 W ASHLEY CIR # F600
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9273
Country : US
Telephone Number : 843-402-1360
Fax Number : 843-402-3309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 04/02/2026

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