Provider Demographics
NPI:1245045772
Name:BUTZKE, AMBER LEA
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEA
Last Name:BUTZKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372-9723
Mailing Address - Country:US
Mailing Address - Phone:402-580-1269
Mailing Address - Fax:
Practice Address - Street 1:1303 E 8TH ST
Practice Address - Street 2:
Practice Address - City:HICKMAN
Practice Address - State:NE
Practice Address - Zip Code:68372-9723
Practice Address - Country:US
Practice Address - Phone:402-580-1269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider