Individual
JENNIFER DANEEN BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Contact information
Practice address
4671 MOUNT AUKUM RD, PLACERVILLE, CA 95667-9501
(913) 217-0536
Mailing address
4671 MOUNT AUKUM RD, PLACERVILLE, CA 95667-9501
(913) 217-0536
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
803436
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
100740
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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