Individual provider · NPI-1

Michelle Renee Butler, FNP-BC

Nurse Practitioner · Mount Airy, NC

NPI number1295063790
StatusActive
Last updated in NPPESNov 23, 2009

Details

NPI
1295063790
Entity type
Individual (NPI-1)
Name
Ms. Michelle Renee Butler
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 23, 2009
Last updated
Nov 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2009006136NCYes

Practice location

351 Riverside Dr
Mount Airy, NC 27030-3877

Phone 336-786-7079 · Fax 336-786-6312

Mailing address

2680 Grosvenor Pl Apt 1
Winston Salem, NC 27106-5244

Phone 336-748-0065 · Fax 336-748-0065

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