Provider Demographics
NPI:1164178034
Name:BUTTERFIELD, DENINE ELISE (RN)
Entity Type:Individual
Prefix:
First Name:DENINE
Middle Name:ELISE
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E 2200 S
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2159
Mailing Address - Country:US
Mailing Address - Phone:801-386-6181
Mailing Address - Fax:
Practice Address - Street 1:141 E 2200 S
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-2159
Practice Address - Country:US
Practice Address - Phone:801-386-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6609632-3102163W00000X
UT6609632-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse