| NPI | 1316175037 |
|---|---|
| Former Name | SHANNON T. BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60081915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200941252RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60081915) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200950065NP) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2018-07-24 |