Healthcare Provider Details

I. General information

NPI: 1780530931
Provider Name (Legal Business Name): ABIGAIL BUTTERFIELD LLC D/B/A RENEW HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FRANDORSON CIR STE 4110
APOLLO BEACH FL
33572-2645
US

IV. Provider business mailing address

5301 WISHING ARCH DR
APOLLO BEACH FL
33572-3465
US

V. Phone/Fax

Practice location:
  • Phone: 813-790-5887
  • Fax:
Mailing address:
  • Phone: 330-353-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL LYNN BUTTERFIELD
Title or Position: PMHNP-BC
Credential: APRN
Phone: 330-353-1744