Provider Demographics
NPI:1073010229
Name:BUTLER, CHERYL LEA (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LEA
Last Name:BUTLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:120 PARK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-2132
Mailing Address - Country:US
Mailing Address - Phone:920-885-5225
Mailing Address - Fax:920-356-6419
Practice Address - Street 1:120 PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-2132
Practice Address - Country:US
Practice Address - Phone:920-885-5225
Practice Address - Fax:920-356-6419
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI8342-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily