Individual
SARAH A BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 DEXTER CT, DAVENPORT, IA 52807-3461
(563) 344-6600
Mailing address
3122 52ND AVENUE CT, BETTENDORF, IA 52722-6952
(563) 332-1844
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-093549
IA
367500000X
Certified Registered Nurse Anesthetist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11639
BLUE SHIELD
IA
05
—
1567677
—
IA
01
—
421374509 22
JOHN DEERE
IA
01
—
P00235039
RAILROAD MEDICARE
IA
Enumeration date
06/02/2005
Last updated
07/08/2007
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