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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAELA SOPHIA BUTLER, PA-S

Active Sole Proprietor

MICHAELA SOPHIA BUTLER, PA-S is a Physician Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1457927204 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHUBBUCK, ID

Registration Details

NPI Number
1457927204
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2021 (5.1652821240458 yrs)
Last Updated
Mar 21, 2022
Sole Proprietor
Yes

Practice Information

Address
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID, 832022376
Browse ID providers · Browse ZIP 83202
Phone
2082525621
Fax
2086484167
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHUBBUCK, ID

Name Credential NPI
LESLIE IRENE BURNSIDE PA-C 1760451454
MRS. AMY LOUISE MCKINLAY PA-C 1992716674
RYAN T MCCULLOCH PA 1720195530
RENEE LYNN KATTER PA-C 1053502955
MRS. RACHEL M KOSTER PA-C 1437469830
BRENT LEAVITT 1740650548
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.