Provider Demographics
NPI:1366304933
Name:BUTLER, CARLOTTA LENA (FNP)
Entity type:Individual
Prefix:
First Name:CARLOTTA
Middle Name:LENA
Last Name:BUTLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CARLOTTA
Other - Middle Name:LENA
Other - Last Name:MANNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3912 PARADOR DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3111
Mailing Address - Country:US
Mailing Address - Phone:309-287-3116
Mailing Address - Fax:
Practice Address - Street 1:3912 PARADOR DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-3111
Practice Address - Country:US
Practice Address - Phone:309-287-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.034114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily