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Individual

SHANNON BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8000
Mailing address
304 DESERT LILY CT, RENO, NV 89521-6357
(925) 963-1577

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
282962
AZ
163W00000X
Registered Nurse
95266900
CA
163W00000X
Registered Nurse
RN89109
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
894460
NV

Other

Enumeration date
08/28/2025
Last updated
09/29/2025
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