Provider Demographics
NPI:1962007922
Name:BUTLER, APRYL MAE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:APRYL
Middle Name:MAE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-858-6655
Mailing Address - Fax:270-858-4607
Practice Address - Street 1:89 C MICHAEL DAVENPORT BLVD
Practice Address - Street 2:STE 1
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4481
Practice Address - Country:US
Practice Address - Phone:502-783-2304
Practice Address - Fax:502-783-2484
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3018422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100714180Medicaid
15014973OtherCAQH