Individual
MS. ANITA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Mailing address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
R08939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005347201
—
TX
01
—
710000878
RAILROAD MEDICARE PROV NO
TX
Enumeration date
06/16/2005
Last updated
09/01/2009
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