Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Divine Marie Buttler-Tolliver

Individual provider Licensed Vocational Nurse · NPI 1013621051

Legacy Divine Marie Buttler-Tolliver is a Licensed Vocational Nurse in Palmdale, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

38350 40th St E
Palmdale, CA 93552-3075
Phone: (661) 225-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 702919 (CA)

Record details

NPI number1013621051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2023
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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