Individual
CAROLYN KAY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 SYCAMORE AVE, SUITE 270, VISTA, CA 92081-7832
(760) 598-1700
(760) 598-1196
Mailing address
910 SYCAMORE AVE, SUITE 270, VISTA, CA 92081-7832
(760) 598-1700
(760) 598-1196
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CA400963 NP8386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN8386
—
CA
Enumeration date
08/26/2005
Last updated
04/30/2008
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