Provider Demographics
NPI:1992060388
Name:BUTTS, REBECCA ANN (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:BUTTS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 GABRIEL STREET
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-3034
Mailing Address - Country:US
Mailing Address - Phone:620-421-6550
Mailing Address - Fax:620-421-1525
Practice Address - Street 1:2601 GABRIEL STREET
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-3034
Practice Address - Country:US
Practice Address - Phone:620-421-6550
Practice Address - Fax:620-421-1525
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75536-011364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health