Lisa Marie Butler
Community Health Worker in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1336084979
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1336084979
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Butler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2026
- Certification date
- Apr 15, 2026
- Last updated
- Apr 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | CHW1-6450 | NV | Yes |
Practice location
3925 North Martin Luther King Blvd#214
North Las Vegas, NV 89032
Phone 702-747-1222
Mailing address
2125 N Las Vegas Blvd Apt 1076North Las Vegas, NV 89030-5889
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