Provider Demographics
NPI:1720548282
Name:BUTLER, LAUREN ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BUTLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:NEWBERN
Mailing Address - State:TN
Mailing Address - Zip Code:38059-1169
Mailing Address - Country:US
Mailing Address - Phone:731-627-3553
Mailing Address - Fax:731-882-1256
Practice Address - Street 1:100 E HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:NEWBERN
Practice Address - State:TN
Practice Address - Zip Code:38059-1169
Practice Address - Country:US
Practice Address - Phone:731-627-3553
Practice Address - Fax:731-882-1256
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN176361163WE0003X
TN26005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN176361OtherTENNESSEE STATE BOARD OF NURSING