Individual
LISA BUTTERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
673757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328704701
—
TX
05
—
328704702
—
TX
05
—
328704703
—
TX
05
—
328704704
—
TX
Enumeration date
10/23/2013
Last updated
01/05/2015
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