Provider Demographics
NPI:1285923151
Name:BUTLER, PAIGE HEATH (CRNP)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:HEATH
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:PAIGE
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2055 E SOUTH BLVD STE 505
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2004
Practice Address - Country:US
Practice Address - Phone:334-747-5000
Practice Address - Fax:334-747-5012
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-095342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily