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Tina Marie Butt, np-c

Nurse Practitioner, Family in Mentor, OH. Individual provider (NPI-1).

NPI number1205023173
StatusActive
Last updated in NPPESMar 3, 2021

Details

NPI
1205023173
Entity type
Individual (NPI-1)
Name
Mrs. Tina Marie Butt
Credential
np-c
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2007
Certification date
Mar 3, 2021
Last updated
Mar 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.09534OHYes
163WG0000X Registered Nurse, General PracticeCOA.09534-NPOH

Practice location

9485 Mentor Avenue
Suite 210
Mentor, OH 44060-8723

Phone 440-255-5571 · Fax 440-205-5744

Mailing address

7590 Auburn Road., Suite 014
Attn: Medical Staff
Concord Twp, OH 44077-9176

Phone 440-354-1899 · Fax 440-354-1845

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