Individual
AZELIN BUTTITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7401 TRAIL BLAZER TRL, WAKE FOREST, NC 27587-4734
(252) 717-9476
Mailing address
7401 TRAIL BLAZER TRL, WAKE FOREST, NC 27587-4734
(252) 717-9476
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
294936
NC
367500000X
Certified Registered Nurse Anesthetist
151146
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
82066
NM
Other
Enumeration date
10/05/2023
Last updated
01/27/2025
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