Provider Demographics
NPI:1720952153
Name:BUTLER, ALBERTA MARIE
Entity type:Individual
Prefix:
First Name:ALBERTA
Middle Name:MARIE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 DANGERFIELD PL
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4600
Mailing Address - Country:US
Mailing Address - Phone:202-449-0783
Mailing Address - Fax:
Practice Address - Street 1:200 Q ST NE APT 2114
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2386
Practice Address - Country:US
Practice Address - Phone:202-449-0783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty