Provider Demographics
NPI:1790924934
Name:BUTLER, GAIL LOUISE (RNC, NNP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LOUISE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RNC, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 FOX MOUNTAIN PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-6909
Mailing Address - Country:US
Mailing Address - Phone:719-473-3433
Mailing Address - Fax:
Practice Address - Street 1:1930 FOX MOUNTAIN PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-6909
Practice Address - Country:US
Practice Address - Phone:719-473-3433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56594163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care