Individual
DENISE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
175 STONEBRIDGE LN STE 100, SOUTHLAKE, TX 76092-0316
(817) 421-2905
Mailing address
175 STONEBRIDGE LN STE 100, SOUTHLAKE, TX 76092-0316
(817) 421-2905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137857
TX
Other
Enumeration date
12/17/2018
Last updated
03/24/2021
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