Kimberly Cheryl Butrum
Nurse Practitioner - Gerontology
313 E 12th St Suite 101
Austin
, Texas 78701-1954
Kimberly Cheryl Butrum
Nurse Practitioner - Gerontology
313 E 12th St Suite 101
Austin
, Texas 78701-1954
(512) 324-9651
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kimberly Cheryl Butrum
- 313 E 12th St Suite 101
- Austin, TX
- Zip : 78701-1954
- Fax : (512) 324-9651
- Phone : (512) 324-9660
Second Address
- Kimberly Cheryl Butrum
- 313 E 12th St Suite 101
- Austin, TX
- Zip : 78701-1954
- Fax : (512) 324-9651
- Phone : (512) 324-9660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 724673 | TX |
National Provider Identifier
| NPI | 1013102599 |
|---|---|
| Provider Name | Kimberly Cheryl Butrum |
| First Address | Austin, TX 78701-1954 |
| Second Address | Austin, TX 78701-1954 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2007 |
| Last Update Date | 15/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.