Organization
A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M BUTLER FNP-BC (NP/OWNER)
(562) 682-8577
Entity
Organization
Contact information
Practice address
4441 OWENS ST UNIT 105, CORONA, CA 92883-7393
(562) 682-8577
Mailing address
11762 DE PALMA RD STE 1C, CORONA, CA 92883-4010
(562) 682-8577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
04/26/2024
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