MEDICARE: ALLISON BUTZ

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	163W00000X	Registered Nurse	RN520412L	PA
2	363LP2300X	Primary Care Nurse Practitioner	SP030949	PA

General Provider Information

NPI Number	:	1912725821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON BUTZ

Provider Business Mailing Address
First Line	:	1 E BROAD ST STE 130
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5934
Country	:	US
Telephone Number	:	484-626-0480
Fax Number	:	484-896-9002

Provider Business Practice Location Address
First Line	:	3477 CORPORATE PKWY STE 100
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8237
Country	:	US
Telephone Number	:	484-626-0480
Fax Number	:	484-896-9002

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

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	12/02/2025

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Directions to “ ALLISON BUTZ ” Practice Location

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