Provider Demographics
NPI:1386359735
Name:ANDREA E BUTTERS APRN PLLC
Entity type:Organization
Organization Name:ANDREA E BUTTERS APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUTTERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:775-846-6057
Mailing Address - Street 1:1407 SNOW SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6245
Mailing Address - Country:US
Mailing Address - Phone:775-846-6057
Mailing Address - Fax:
Practice Address - Street 1:2145 GREEN VISTA DR STE 112
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8513
Practice Address - Country:US
Practice Address - Phone:775-846-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty