Individual provider · Type 1 NPI

Nicoya Butler, NP

Gerontology Nurse Practitioner · Decatur, GA

NPI number 1679163216 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Mailing address

PO Box 392376
Snellville, GA 30039-0040

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X167569 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1679163216

Nicoya Butler, NP's National Provider Identifier is 1679163216, issued on Jan 18, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Decatur, GA. The record was last updated on Jan 18, 2021.