Healthcare Provider Details

I. General information

NPI: 1952470502
Provider Name (Legal Business Name): JOAN MARIE BUTERA MSN, FNP, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3817 E SENECA ST
TUCSON AZ
85716-2926
US

IV. Provider business mailing address

4843 E HELEN ST
TUCSON AZ
85712-4717
US

V. Phone/Fax

Practice location:
  • Phone: 520-319-8959
  • Fax: 520-795-0150
Mailing address:
  • Phone: 520-326-7562
  • Fax: 520-326-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number042457
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number042457
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: