Provider Demographics
NPI:1295221810
Name:BUTELLA, HILARY LEE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:LEE
Last Name:BUTELLA
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 WOODLOCH FOREST DR STE 575
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1179
Mailing Address - Country:US
Mailing Address - Phone:281-528-1523
Mailing Address - Fax:281-719-0491
Practice Address - Street 1:1400 WOODLOCH FOREST DR STE 575
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1179
Practice Address - Country:US
Practice Address - Phone:281-528-1523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137919207Q00000X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty