Individual provider · Type 1 NPI

Tracy Butler

Nurse Practitioner · San Mateo, CA

NPI number 1457407199 Active

Practice location

222 W 39th Ave
San Mateo, CA 94403-4364

Mailing address

503 Georgetown Ave
San Mateo, CA 94402-2253

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN359302 (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 1457407199

Tracy Butler's National Provider Identifier is 1457407199, issued on Jan 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.