MEDICARE: CARLOTTA LENA BUTLER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209.034114	IL

General Provider Information

NPI Number	:	1366304933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOTTA LENA BUTLER FNP

Provider Business Mailing Address
First Line	:	3912 PARADOR DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-3111
Country	:	US
Telephone Number	:	309-287-3116
Fax Number	:

Provider Business Practice Location Address
First Line	:	3912 PARADOR DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-3111
Country	:	US
Telephone Number	:	309-287-3116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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