Healthcare Provider Details

I. General information

NPI: 1851345847
Provider Name (Legal Business Name): JULIE HALE BUTTLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 02/20/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3643 N ROXBORO ST
DURHAM NC
27704-2702
US

IV. Provider business mailing address

1116 FALLS BRIDGE DR
RALEIGH NC
27614-8940
US

V. Phone/Fax

Practice location:
  • Phone: 919-470-3150
  • Fax:
Mailing address:
  • Phone: 312-339-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number005567
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: