Individual
TIANA J. BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124-2056
(314) 862-5044
(314) 862-2734
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 862-5044
(314) 862-2734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023035141
MO
363L00000X
Nurse Practitioner
209030358
IL
363LA2200X
Adult Health Nurse Practitioner
AG08230039
MO
Other
Enumeration date
10/12/2023
Last updated
06/11/2026
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