Provider Demographics
NPI:1427373547
Name:LA FRENZ, AMY BUTLER (WHNP-BC, MSN)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BUTLER
Last Name:LA FRENZ
Suffix:
Gender:F
Credentials:WHNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 REGIONAL CIR STE B
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9796
Mailing Address - Country:US
Mailing Address - Phone:910-215-0111
Mailing Address - Fax:910-215-0113
Practice Address - Street 1:3 REGIONAL CIR STE B
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9796
Practice Address - Country:US
Practice Address - Phone:910-215-0111
Practice Address - Fax:910-215-0113
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004681363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health