Cokeydo Darson Butler

Individual provider Active NPI Low-Risk Neonatal Registered Nurse · Clarksburg, MD

NPI 1821936675 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1821936675
Entity type
Individual (NPI type 1)
Primary specialty
Low-Risk Neonatal Registered Nurse 163WN0003X
License
787133 (TX)
Practice address
23605 Clarksmeade Dr
Clarksburg, MD 20871-4312
Phone
(832) 641-6758
NPI assigned
Mar 23, 2026
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

LicenseStateTypeSpecialty
787133TXMDLow-Risk Neonatal Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Low-Risk Neonatal Registered Nurse 163WN0003X 787133 TX Yes

Addresses

Primary practice location

23605 Clarksmeade Dr
Clarksburg, MD 20871-4312

Mailing address

23605 Clarksmeade Dr
Clarksburg, MD 20871-4312
Phone (832) 641-6758

Other providers in Clarksburg, MD

All providers in Clarksburg, MD · Low-Risk Neonatal Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.