Individual
EVANGELINE DIAZ BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP BC
Contact information
Practice address
21 OLD KINGS RD N UNIT 108, PALM COAST, FL 32137-8254
(386) 627-4553
(386) 232-5152
Mailing address
138 WELLSTONE DR, PALM COAST, FL 32164-4111
(386) 627-4553
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9320265
FL
363L00000X
Nurse Practitioner
Primary
11009579
FL
Other
Enumeration date
05/22/2019
Last updated
09/23/2024
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