Individual
MRS. LINDA MARIE BUTLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 3RD AVE NE, HICKORY, NC 28601-5044
(828) 327-8105
(825) 327-4245
Mailing address
200 WHITEROCK DR, MOUNT HOLLY, NC 28120-8101
(704) 326-6885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1043
NC
367500000X
Certified Registered Nurse Anesthetist
163893
NC
367500000X
Certified Registered Nurse Anesthetist
2689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1432
—
SC
Enumeration date
04/06/2006
Last updated
11/16/2022
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