Provider Demographics
NPI:1437613718
Name:BUTTERWORTH, SHALIN MARIE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SHALIN
Middle Name:MARIE
Last Name:BUTTERWORTH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 IONE ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5406
Mailing Address - Country:US
Mailing Address - Phone:916-616-4093
Mailing Address - Fax:
Practice Address - Street 1:2817 IONE ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5406
Practice Address - Country:US
Practice Address - Phone:916-616-4093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula