Provider Demographics
NPI:1558706671
Name:ARMINTROUT BUTLER, HILARY BROOKE (LPN)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:BROOKE
Last Name:ARMINTROUT BUTLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:BROOKE
Other - Last Name:ARMINTROUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 VINE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-1329
Mailing Address - Country:US
Mailing Address - Phone:937-661-7760
Mailing Address - Fax:
Practice Address - Street 1:209 VINE ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-1329
Practice Address - Country:US
Practice Address - Phone:937-661-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.142410164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse