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Contact Information

SAMANTHA BUTALID, FNP-BC, MSN, CNS, RN
300 PASTEUR DR
STANFORD, CA94305-2200
 Phone: 650-723-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SAMANTHA BUTALID · (Female)

NPI Number 1174100010
Status Active
Credentials FNP-BC, MSN, CNS, RN
Entity Individual
Enumeration date 03/26/2021
Last updated 03/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2970
  • CA License # 95016996
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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