Provider Demographics
NPI:1609524305
Name:BUTLER, EMILY REED (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:REED
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 ROYCE RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-1728
Mailing Address - Country:US
Mailing Address - Phone:205-587-7422
Mailing Address - Fax:
Practice Address - Street 1:1500 ROYCE RD
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-1728
Practice Address - Country:US
Practice Address - Phone:205-587-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-119447163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant