Provider Demographics
NPI:1598059727
Name:BUTLER, DENAE N (FNP-C)
Entity type:Individual
Prefix:
First Name:DENAE
Middle Name:N
Last Name:BUTLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DENAE
Other - Middle Name:N
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2123 AUBURN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-251-9900
Mailing Address - Fax:513-244-4130
Practice Address - Street 1:2123 AUBURN AVE STE 204
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-251-9900
Practice Address - Fax:513-244-4130
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1173977363LF0000X
OHCOA.17091-NP363LF0000X
OHR.N.351485163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0121748Medicaid