Provider Demographics
NPI:1114160959
Name:BUTLER, JOELLE BABULA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:BABULA
Last Name:BUTLER
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:1001 CROMWELL BRIDGE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3330
Mailing Address - Country:US
Mailing Address - Phone:410-821-7775
Mailing Address - Fax:410-821-1320
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 216
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9828
Practice Address - Country:US
Practice Address - Phone:410-256-5858
Practice Address - Fax:410-529-2431
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2016-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR178191363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health