Provider Demographics
NPI:1982499448
Name:BUTLER, LEILA MICHELLE (BSN, RN)
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:MICHELLE
Last Name:BUTLER
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4522 KILKENNY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7322
Mailing Address - Country:US
Mailing Address - Phone:225-454-5786
Mailing Address - Fax:
Practice Address - Street 1:4522 KILKENNY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7322
Practice Address - Country:US
Practice Address - Phone:225-454-5786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202776163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse