Provider Demographics
NPI:1528773983
Name:BUTLER, KARLI PAIGE (MSN, APRN, CPNP-PC)
Entity type:Individual
Prefix:MISS
First Name:KARLI
Middle Name:PAIGE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MSN, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18924 FREEPORT DR STE B
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4590
Mailing Address - Country:US
Mailing Address - Phone:936-645-1668
Mailing Address - Fax:
Practice Address - Street 1:18924 FREEPORT DR STE B
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-4590
Practice Address - Country:US
Practice Address - Phone:936-582-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112212363LP0200X
TX959220163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse