Tanita Breyannen Denae Butler, FNP-C Valid NPI
Individual provider · Family Nurse Practitioner · Mansfield, TX
- NPI
- 1073773545
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 1080257 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-06-10
- Last updated
- 2022-08-05
Practice location
2200 Matlock Rd
Mansfield, TX 76063-3855
(817) 453-0267