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NPI Code Detail

MEDICARE: RAYLAINE BUTLER

MEDICARE:   RAYLAINE  BUTLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse149851OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1149851OTHEROHSTATE OF OHIO RN LICENSE NUMBER

General Provider Information

NPI Number : 1215350046
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYLAINE BUTLER
Provider Business Mailing Address
First Line : 682 WINDING WAY
Second Line :
City : KETTERING
State : OH
Zip : 45419-1149
Country : US
Telephone Number : 937-546-1409
Fax Number : 937-237-6307
Provider Business Practice Location Address
First Line : 5954 LONGFORD RD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-2943
Country : US
Telephone Number : 937-237-6300
Fax Number : 937-237-6307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2014
Last Update Date : 01/30/2014

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Directions to “ RAYLAINE BUTLER ” Practice Location

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