Individual
DONNA L. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4341
(317) 621-4419
Mailing address
PO BOX 19751, INDIANAPOLIS, IN 46219-0751
(317) 355-2223
(317) 355-2205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576508
ANTHEM
IN
01
—
000000605639
ANTHEM
IN
01
—
1124090683
TRICARE
IN
05
—
200534810
—
IN
Enumeration date
02/07/2006
Last updated
11/13/2009
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