Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 6436 | CT |
NPI | 1013421015 |
---|---|
Provider Name | Ms. Arlene Elizabeth Butler |
First Address | Stamford, CT 06902 |
Second Address | Stamford, CT 06902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2017 |
Last Update Date | 04/03/2021 |