Individual
TOMMIE LEE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
15715 S 46TH ST STE 100, PHOENIX, AZ 85048-0439
(480) 961-2365
(480) 961-2382
Mailing address
4505 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048-7688
(480) 961-2365
(480) 961-2382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN184275
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
255710
AZ
Other
Enumeration date
10/05/2020
Last updated
05/05/2026
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