Individual
RYAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(405) 608-1600
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96323
OK
363LF0000X
Family Nurse Practitioner
Primary
96323
OK
Other
Enumeration date
01/26/2017
Last updated
10/26/2022
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