| Michele Butler, CRNP | |
|
712 Fitzwatertown Rd, Glenside, PA 19038-1306 | |
| (215) 264-8104 | |
| Not Available |
| Full Name | Michele Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 712 Fitzwatertown Rd, Glenside, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841788957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN335256L (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP018383 (Pennsylvania) | Primary |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Entity Name | Traveling Podiatry Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669138467 PECOS PAC ID: 4688067325 Enrollment ID: O20220202000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Butler, CRNP 712 Fitzwatertown Rd, Glenside, PA 19038-1306 Ph: (215) 264-8104 | Michele Butler, CRNP 712 Fitzwatertown Rd, Glenside, PA 19038-1306 Ph: (215) 264-8104 |
Elizabeth Joy Mccaffrey, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2114 Wharton Rd, Glenside, PA 19038 Phone: 267-222-0252 | |
Mrs. Lovely Sijju Varghese, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 Paper Mill Rd, Fairview Care Center Of Paper Mill, Glenside, PA 19038 Phone: 215-233-0920 Fax: 215-673-1894 | |
Mrs. Suzanne O'brien, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 Custis Rd, Glenside, PA 19038 Phone: 215-384-3547 | |
Kristina Marie Mulholland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 S Easton Rd, Glenside, PA 19038 Phone: 610-304-9706 | |
Laurence Joseph Sheridan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 717 Bethlehem Pike, Glenside, PA 19038 Phone: 610-306-7666 | |
Andrea Clark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 N Tyson Ave, Glenside, PA 19038 Phone: 267-921-8158 |