SUZANNE RACHELLE BUTALA NP NPI 1366548372

NPI Information

NPI: 1366548372
Provider Name: SUZANNE RACHELLE BUTALA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
20701 BEACH BLVD
#277
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 661-8439
Get Directions

Suzanne Rachelle Butala, NP is a family nurse practitioner in Huntington Beach, CA. Suzanne Rachelle Butala, NP NPI is 1366548372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20701 BEACH BLVD
#277
HUNTINGTON BEACH, CA
ZIP 92648-908
Phone: (714) 661-8439

The NPI 1366548372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	256495	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	NPF4529	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPC4529	OTHER	CALIFORNIA	NP CERTIFICATION
2	BJ970Z	MEDICARE UPIN	CALIFORNIA
3	BJ970Y	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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