Healthcare Provider Details

I. General information

NPI: 1609220920
Provider Name (Legal Business Name): VICTORIA BUTLER NAFIE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA ROSE BUTLER CRNA

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4408
  • Fax: 513-636-7337
Mailing address:
  • Phone: 513-636-4408
  • Fax: 513-636-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.019888
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: