Healthcare Provider Details

I. General information

NPI: 1417871070
Provider Name (Legal Business Name): ANNE BUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 DAVISHIRE DR
RALEIGH NC
27615-1836
US

IV. Provider business mailing address

8705 DAVISHIRE DR
RALEIGH NC
27615-1836
US

V. Phone/Fax

Practice location:
  • Phone: 919-609-5350
  • Fax:
Mailing address:
  • Phone: 919-609-5350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: