Mrs Stephanie Celine Douglass, CRNP | |
127 Oneida Valley Rd, Suite 400, Butler, PA 16001-2239 | |
(866) 620-6761 | |
(724) 631-0227 |
Full Name | Mrs Stephanie Celine Douglass |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 127 Oneida Valley Rd, Butler, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891062709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP011792 (Pennsylvania) | Primary |
Entity Name | Butler Medical Providers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619493046 PECOS PAC ID: 7416840160 Enrollment ID: O20040205000830 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Celine Douglass, CRNP 127 Oneida Valley Rd, Suite 400, Butler, PA 16001-2239 Ph: (866) 620-6761 | Mrs Stephanie Celine Douglass, CRNP 127 Oneida Valley Rd, Suite 400, Butler, PA 16001-2239 Ph: (866) 620-6761 |
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