LESLIE DIANE BUTLER ARNP NPI 1790752483

NPI Information

NPI: 1790752483
Provider Name: LESLIE DIANE BUTLER, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: NORMAN REGIONAL PROVIDERS-PRIMARY CARE

PECOS Registration: Yes

Address:
1019 N COUNCIL AVE
SUITE 1
BLANCHARD, OK
ZIP 73010
Phone: (405) 515-0360
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Leslie Diane Butler, ARNP is a family nurse practitioner in Blanchard, OK with 26 years of experience. Leslie Diane Butler, ARNP NPI is 1790752483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1019 N COUNCIL AVE
SUITE 1
BLANCHARD, OK
ZIP 73010-045
Phone: (405) 515-0360
Fax: (405) 307-5596

The NPI 1790752483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R0058298	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100130320A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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