Individual
SARAH ELYSE SANDHEINRICH BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 HAIRPIN DR, EDWARDSVILLE, IL 62026-1000
(618) 650-3956
Mailing address
620 N CHURCH ST, BELLEVILLE, IL 62220-4031
(618) 973-8523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041493204
IL
163W00000X
Registered Nurse
1179031
KY
163W00000X
Registered Nurse
2015018426
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209027727
IL
Other
Enumeration date
10/03/2022
Last updated
06/27/2023
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