Provider Demographics
NPI:1396054227
Name:BUTCHER, PATRICIA ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:HORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:700 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-6416
Mailing Address - Country:US
Mailing Address - Phone:845-561-3655
Mailing Address - Fax:845-561-0252
Practice Address - Street 1:700 CORPORATE BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6416
Practice Address - Country:US
Practice Address - Phone:845-561-3655
Practice Address - Fax:845-561-0252
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY509296-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health