Healthcare Provider Details

I. General information

NPI: 1972111375
Provider Name (Legal Business Name): FRANCES EVONNE BUTLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 03/23/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20306 BADGER LANE
ONLEY VA
23418-1331
US

IV. Provider business mailing address

20280 MARKET ST
ONANCOCK VA
23417-1331
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-7374
  • Fax: 757-787-4513
Mailing address:
  • Phone: 757-414-0400
  • Fax: 757-414-0569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number346209
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: