Provider Demographics
NPI:1366746380
Name:BUTCHER, LAURA L (NNP-BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP-BC
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3300
Mailing Address - Fax:816-855-1908
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3300
Practice Address - Fax:816-855-1908
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010032762363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care