Individual
ALISA M. BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 PATTERSON ST, LAFAYETTE, LA 70501-1849
(337) 769-9451
(337) 769-9460
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08116
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450913
—
LA
01
—
584300
MEDICARE
LA
Enumeration date
01/24/2015
Last updated
03/01/2023
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