Provider Demographics
NPI:1720524556
Name:BUTLER, CHRISTINE LEE (CPNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEE
Last Name:BUTLER
Suffix:
Gender:
Credentials:CPNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:LEE
Other - Last Name:MCCASLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:1871 SAVAGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4726
Mailing Address - Country:US
Mailing Address - Phone:843-766-6308
Mailing Address - Fax:
Practice Address - Street 1:1871 SAVAGE RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4726
Practice Address - Country:US
Practice Address - Phone:843-766-6308
Practice Address - Fax:866-533-4473
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21073363LP0200X, 363LP0200X
CA95008519363LP0200X
GARN263562363LP0200X, 363LP0222X
TXAP132345363LP0200X, 363LP0222X
AZAP10426363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care