Provider Demographics
NPI:1487341004
Name:BUTLER, ASHLEY BRE'A (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BRE'A
Last Name:BUTLER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:700 MEDICAL CENTER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9016
Mailing Address - Country:US
Mailing Address - Phone:316-283-4153
Mailing Address - Fax:316-282-0550
Practice Address - Street 1:700 MEDICAL CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-9016
Practice Address - Country:US
Practice Address - Phone:316-283-4153
Practice Address - Fax:316-282-0550
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS161594363LF0000X
KS53-82242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily