Individual provider · Type 1 NPI

Samantha Butalid, FNP-BC, MSN, CNS, RN

Nurse Practitioner · Stanford, CA

NPI number 1174100010 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Call (650) 723-4000 Map

Other practice locations

  • 1 Quality Dr, Vacaville, CA 95688-9494 · (707) 624-3235

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist 364SG0600X2970 (CA)
Nurse Practitioner Primary 363L00000X95016996 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174100010

Samantha Butalid, FNP-BC, MSN, CNS, RN's National Provider Identifier is 1174100010, issued on Mar 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Mar 1, 2023.