MEDICARE: DR. LENORA BUTTERBAUGH APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APRN11024008	FL

General Provider Information

NPI Number	:	1598461667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENORA BUTTERBAUGH APRN

Provider Business Mailing Address
First Line	:	1480 19TH ST
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-2505
Country	:	US
Telephone Number	:	386-218-5854
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 WEKIVA SPRINGS RD
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-3684
Country	:	US
Telephone Number	:	407-821-3004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	05/08/2026

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