Individual
BRENT BUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 FORTINO BLVD, SUITE 2, PUEBLO, CO 81008-1890
(970) 261-5183
Mailing address
1800 FORTINO BLVD, SUITE 2, PUEBLO, CO 81008-1890
(970) 261-5183
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2018
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
209019505
IL
367500000X
Certified Registered Nurse Anesthetist
AP129705
TX
367500000X
Certified Registered Nurse Anesthetist
APN.0992033-CRNA
CO
Other
Enumeration date
10/26/2015
Last updated
09/29/2022
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