Provider Demographics
NPI:1871719120
Name:BUTLER, DENISE LEE (STNA ASSOC IN HUMSCI)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LEE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:STNA ASSOC IN HUMSCI
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:LEE
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1340 HEINLE RD
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820
Mailing Address - Country:US
Mailing Address - Phone:419-562-4465
Mailing Address - Fax:
Practice Address - Street 1:1340 HEINLE RD
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-9442
Practice Address - Country:US
Practice Address - Phone:419-562-4465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2165071374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide