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General NPI Number Information
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NPI Number | 1427591247
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Entity Type | Individual
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Provider Name | BETTY ROBERTSON BUTLER DNP, MSN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 3157 GENTILLY BLVD # 2374771
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City | NEW ORLEANS
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State | LA
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Zip | 70122-3872
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Country | US
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Telephone | 504-444-5149
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Fax | 504-304-9629
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Provider Business Mailing Address
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Address Line | 16911 MEADOWLEIGH CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-3213
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Country | US
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Telephone | 504-444-5149
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Fax | 504-304-9629
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN164564
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP09978
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP09978
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP133436
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APP133436
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP09978
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License Number State | LA
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