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Contact Information

ANASHA BUSH BUTLER, FNP
3600 GULFWAY DRIVE
B
PORT ARTHUR, TX77642
 Phone: 409-217-4057
 Fax: 409-223-7994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANASHA BUSH BUTLER · (Female)

NPI Number 1104363225
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/26/2017
Last updated 06/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # AP 133078
  • TX Medicaid 1104363225
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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