Healthcare Provider Details

I. General information

NPI: 1144745894
Provider Name (Legal Business Name): ALEXANDRIA BUTTERFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUITE 216, 1426 FILLMORE STREET
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

SUITE 216, 1426 FILLMORE ST
SAN FRANCISCO CA
94115-5236
US

V. Phone/Fax

Practice location:
  • Phone: 415-561-0631
  • Fax:
Mailing address:
  • Phone: 415-963-4149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: