Individual
DR. BETTY ROBERTSON BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN, AGNP-C
Contact information
Practice address
3157 GENTILLY BLVD # 2374771, NEW ORLEANS, LA 70122-3872
(504) 444-5149
(504) 304-9629
Mailing address
16911 MEADOWLEIGH CT, SUGAR LAND, TX 77479-3213
(504) 444-5149
(504) 304-9629
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP09978
LA
363LA2200X
Adult Health Nurse Practitioner
APP133436
TX
363LG0600X
Gerontology Nurse Practitioner
AP09978
LA
363LG0600X
Gerontology Nurse Practitioner
AP133436
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP09978
LA
363LP2300X
Primary Care Nurse Practitioner
RN164564
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001306-C-NP
CO BON
CO
01
—
16564
GBON
GA
01
—
603773
RN LICENSE
CA
01
—
95005519
NP LICENSE AND FURNISHING NUMBER
CA
01
—
A006113
AR BON
AR
01
—
AP09978
LA BON
LA
01
—
AP133436
TX BON
TX
Enumeration date
11/28/2016
Last updated
01/02/2025
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