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NPI Code Detail

MEDICARE: GAIL LOUISE BUTLER RNC, NNP

MEDICARE:   GAIL LOUISE BUTLER  RNC, NNP
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
1163WN0002XNeonatal Intensive Care Registered Nurse56594CO

General Provider Information

NPI Number : 1790924934
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL LOUISE BUTLER RNC, NNP
Provider Business Mailing Address
First Line : 1930 FOX MOUNTAIN PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-6909
Country : US
Telephone Number : 719-473-3433
Fax Number :
Provider Business Practice Location Address
First Line : 1930 FOX MOUNTAIN PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-6909
Country : US
Telephone Number : 719-473-3433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 02/11/2009

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Directions to “ GAIL LOUISE BUTLER RNC, NNP” Practice Location

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