Tiffany L Butcher
Licensed Practical Nurse in Omaha, NE. Individual provider (NPI-1).
NPI number1982124111
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982124111
- Entity type
- Individual (NPI-1)
- Name
- Tiffany L Butcher
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 19566 | NE | Yes |
Practice location
12310 Spencer StOmaha, NE 68164-2584
Phone 402-540-5064
Mailing address
12310 Spencer StOmaha, NE 68164-2584
Phone 402-540-5064
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