Individual
BAILEY NICOLE BUTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-3478
(317) 944-8655
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28244094A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71016815A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300116846
—
IN
Enumeration date
06/16/2025
Last updated
11/05/2025
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