Individual
MS. SHARON BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4135 N MONTREAL ST, MILWAUKEE, WI 53216-1756
(414) 202-9353
Mailing address
4135 N MONTREAL ST, MILWAUKEE, WI 53216-1756
(414) 202-9353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25958-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38223400
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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