Provider Demographics
NPI:1134097157
Name:BUTLER, BAILEE K (RN)
Entity type:Individual
Prefix:
First Name:BAILEE
Middle Name:K
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:532 E ALDER ST APT 15
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2061
Mailing Address - Country:US
Mailing Address - Phone:509-897-8300
Mailing Address - Fax:509-897-5156
Practice Address - Street 1:301 W POPLAR ST STE 220
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2800
Practice Address - Country:US
Practice Address - Phone:509-897-8300
Practice Address - Fax:509-897-5156
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA61061247163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience