Individual provider · Type 1 NPI

Demia Leshay Butts

Licensed Practical Nurse · Surprise, AZ

NPI number 1124988100 Active

Practice location

15802 N Parkview Pl
Surprise, AZ 85374-7466

Mailing address

10060 W Desert River Blvd Apt 2008
Glendale, AZ 85307-3033

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301350 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124988100

Demia Leshay Butts's National Provider Identifier is 1124988100, issued on Nov 13, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Surprise, AZ. The record was last updated on Nov 13, 2025.