Colleen Megan Butler
Individual provider Active NPI Licensed Practical Nurse · Pittsford, NY
NPI 1669950010 · NPPES record last updated Jul 29, 2018
Key facts
- NPI
- 1669950010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 326939 (NY)
- Practice address
- 184 Park Rd
Pittsford, NY 14534-9740 - Phone
- (585) 507-2093
- NPI assigned
- Jul 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326939 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 326939 | NY | Yes |
Addresses
Primary practice location
184 Park Rd
Pittsford, NY 14534-9740
Mailing address
184 Park Rd
Pittsford, NY 14534-9740
Phone (585) 507-2093
Other providers in Pittsford, NY
- Amy L Bulmahn
- Ann Burbank
- Rebekah M Burrill
- Lorna Yvette Busch
- Marcy Ann Bush
- Jennifer Butler
- Jerry Buzan
- Miranda Liel Byrd
- Matthew Welch Byrnes
- Caftacs
All providers in Pittsford, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.