Provider Demographics
NPI:1720963960
Name:BUTLER, DENYCIAH ZYIADAH
Entity type:Individual
Prefix:
First Name:DENYCIAH
Middle Name:ZYIADAH
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 1:6557 PENNSYLVANIA AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3052
Mailing Address - Country:US
Mailing Address - Phone:240-468-3531
Mailing Address - Fax:
Practice Address - Street 1:6557 PENNSYLVANIA AVE APT 104
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3052
Practice Address - Country:US
Practice Address - Phone:240-468-3531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider