Healthcare Provider Details

I. General information

NPI: 1023476207
Provider Name (Legal Business Name): BRITTANY K BUTLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 FERRUM MOUNTAIN RD
FERRUM VA
24088-2939
US

IV. Provider business mailing address

P.O. BOX 9 TRI-AREA COMMUNITY HEALTH
LAUREL FORK VA
24352
US

V. Phone/Fax

Practice location:
  • Phone: 540-365-4469
  • Fax: 540-365-4272
Mailing address:
  • Phone: 276-398-2292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110005220
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: