Tricia Lee Butner, ARNP
Individual provider Active NPI Family Nurse Practitioner · Seminole, OK
NPI 1760487243 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1760487243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28161 (OK)
- Practice address
- 2403 W Wrangler Blvd Ste a
Seminole, OK 74868 - Phone
- (405) 382-4939
- Fax
- (405) 242-5928
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28161 | OK | Yes |
Addresses
Primary practice location
2403 W Wrangler Blvd Ste a
Seminole, OK 74868
Mailing address
7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Phone (405) 972-7239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095680C | Medicaid | OK |
Other names
- Tricia Lee Colclazier
Other providers in Seminole, OK
- Shelby Bowen
- Afton Brauning
- Misty Nevora Brewer
- Justin Burnett
- Amber Burris
- Madison Kaye Byerly
- Jan M Cadenhead
- Marah Gail Canfield
- Corrie Vonne Caudle
- Central Oklahoma Family Medical Center
All providers in Seminole, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 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.