Individual
MRS. TASHA KATE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1020 S 4TH ST, CANADIAN, TX 79014-3315
(806) 323-6422
(806) 323-8061
Mailing address
622 N 5TH ST, CANADIAN, TX 79014-2312
(806) 323-3059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1045098
TX
363L00000X
Nurse Practitioner
1045098
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1045098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429651901
—
TX
Enumeration date
06/21/2021
Last updated
05/11/2026
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