Healthcare Provider Details

I. General information

NPI: 1083544050
Provider Name (Legal Business Name): ROSEBETH MATHEWS BUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 O ST
LINCOLN NE
68510-2564
US

IV. Provider business mailing address

224 W KANESVILLE BLVD
COUNCIL BLUFFS IA
51503-3050
US

V. Phone/Fax

Practice location:
  • Phone: 855-493-1830
  • Fax:
Mailing address:
  • Phone: 402-708-4752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: