Individual
DIANA LUCILLE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13190 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5917
(573) 355-3871
Mailing address
13190 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5917
(573) 355-3871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125964
MO
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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