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NPI Code Detail

MEDICARE: HEATHER BUTCHART

MEDICARE:   HEATHER  BUTCHART
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851717359
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BUTCHART
Provider Business Mailing Address
First Line : 500 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4345
Country : US
Telephone Number : 702-486-0039
Fax Number :
Provider Business Practice Location Address
First Line : 4530 S DECATUR BLVD STE 201B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5239
Country : US
Telephone Number : 702-486-7865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2014
Last Update Date : 10/08/2025

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Directions to “ HEATHER BUTCHART ” Practice Location

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