Individual
MRS. CASEY BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9800 BROADWAY EXT STE 200, OKLAHOMA CITY, OK 73114-6304
(405) 715-4496
(405) 715-4499
Mailing address
1720 DORCHESTER PL, NICHOLS HILLS, OK 73120-1008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99543
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
.
—
Enumeration date
10/21/2014
Last updated
08/09/2021
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