| Joan P Butler, MSN, FNP-C, PA-C | |
|
3304 Renner Dr, Fortuna, CA 95540-7102 | |
| (707) 725-4477 | |
| (707) 725-9209 |
| Full Name | Joan P Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3304 Renner Dr, Fortuna, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407866080 | NPI | - | NPPES |
| RN296119 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | FNP12891 (California) | Primary |
| Entity Name | Matthew C Blundell |
|---|---|
| Entity Type | Practitioner - Internal Medicine |
| Entity Identifiers | NPI Number: 1073511796 PECOS PAC ID: 7517864648 Enrollment ID: I20050412001161 |
| Entity Name | Wahidullah Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093143356 PECOS PAC ID: 0345473062 Enrollment ID: O20140505001672 |
| Entity Name | Redwood Focused Care Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366072571 PECOS PAC ID: 5698199941 Enrollment ID: O20200721000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan P Butler, MSN, FNP-C, PA-C 670 9th St, Suite 203, Arcata, CA 95521-6248 Ph: (707) 826-8633 | Joan P Butler, MSN, FNP-C, PA-C 3304 Renner Dr, Fortuna, CA 95540-7102 Ph: (707) 725-4477 |
Mrs. Maureen B Frank, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3306 Renner Dr, Fortuna, CA 95540 Phone: 707-725-6101 Fax: 707-725-2978 | |
Johnny Keith Coleman, P.A.-C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-9396 | |
Mrs. Lori Ann Cutler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3304 Renner Dr, Fortuna, CA 95540 Phone: 707-725-4477 Fax: 707-725-9209 | |
Mrs. Mary Terese Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Main St, Fortuna, CA 95540 Phone: 707-725-3334 Fax: 707-725-2455 | |
Danielle Leighann Cole, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3750 Rohnerville Road, Fortuna, CA 95540 Phone: 707-725-4477 | |
Laura L Mojica, APRN, IBCLC, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3305 Renner Dr, Fortuna, CA 95540 Phone: 707-725-9355 Fax: 707-725-2426 |