National Provider Identifier

Stephanie Ann Butler, PA

Stephanie Ann Butler, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 355-6401.

NPI 1730481615Boston, MAPhysician Assistant

Source: public NPPES record, last updated December 10, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1730481615
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 25, 2010
Last Updated
December 10, 2021

Practice Location

  • 300 Longwood Ave # Fegan4
  • Boston, MA 02115-5724

Phone: (617) 355-6401

Mailing Address

  • Neurosurgery Dept
  • Proger 7
  • Boston, MA 02111

Specialties

  • Physician Assistant (363A00000X)

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Biography

Stephanie Butler is a Boston-based neurology physician assistant affiliated with Tufts Medical Center. She completed physician assistant training at Nova Southeastern University in 2010 and is listed as an NCCPA-certified PA-C, with public profile details noting neurocritical care-related training and professional activity.

Full Record
NPI
1730481615
Entity Type
Individual
Last Name
Butler
First Name
Stephanie
Middle Name
Ann
Credential
PA
Provider Other Last Name
Duke
Provider Other First Name
Stephanie
Provider Other Middle Name
Ann
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
Neurosurgery Dept
Mailing Address Line 2
Proger 7
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02111
Mailing Country
US
Mailing Phone
(617) 636-5858
Mailing Fax
(617) 636-7587
Practice Street Address
300 Longwood Ave # Fegan4
Practice City
Boston
Practice State
MA
Practice ZIP Code
02115-5724
Practice Country
US
Practice Phone
(617) 355-6401
Enumeration Date
November 25, 2010
Last Updated
December 10, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 10, 2021
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
003510300 (FL)