Individual
NICOLETTE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18151 68TH AVE NE STE 100, KENMORE, WA 98028-2835
(425) 485-6561
Mailing address
18151 68TH AVE NE STE 100, KENMORE, WA 98028-2835
(425) 485-6561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.RN.16102710
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70064573
WA
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.70064573-NP
WA
Other
Enumeration date
12/11/2024
Last updated
01/29/2026
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