Stephanie Lynn Butler Mckillop
Nurse Practitioner - Adult Health
602 S Audubon Ave Ste B
Tampa
, Florida 33609-4217
Stephanie Lynn Butler Mckillop
Nurse Practitioner - Adult Health
602 S Audubon Ave Ste B
Tampa
, Florida 33609-4217
(402) 617-6945
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Stephanie Lynn Butler Mckillop
- 18487 Whyteleafe Ct
- Land O Lakes, FL
- Zip : 34638-8184
- Phone : (402) 617-6945
Second Address
- Stephanie Lynn Butler Mckillop
- 602 S Audubon Ave Ste B
- Tampa, FL
- Zip : 33609-4217
- Phone : (813) 400-1629
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 9277500 | FL |
National Provider Identifier
| NPI | 1023546140 |
|---|---|
| Provider Name | Stephanie Lynn Butler Mckillop |
| First Address | Land O Lakes, FL 34638-8184 |
| Second Address | Tampa, FL 33609-4217 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.