Healthcare Provider Details

I. General information

NPI: 1902563620
Provider Name (Legal Business Name): SARAH ELIZABETH BUTTLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N GILBERT RD STE 206
GILBERT AZ
85234-2394
US

IV. Provider business mailing address

1501 N GILBERT RD STE 206
GILBERT AZ
85234-2394
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-7584
  • Fax:
Mailing address:
  • Phone: 480-626-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number246900
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number246900
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: