Provider Demographics
NPI:1578381182
Name:BUTLER, VERONICA L (MSN, BSN, RN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:L
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MSN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 FRIERSON ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1911
Mailing Address - Country:US
Mailing Address - Phone:910-840-1604
Mailing Address - Fax:
Practice Address - Street 1:3606 FRIERSON ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1911
Practice Address - Country:US
Practice Address - Phone:910-840-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4555253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care