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Individual

TRACIE ANNE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4560
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-0636

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153615-30
WI
363LF0000X
Family Nurse Practitioner
Primary
11889-33
WI

Other

Enumeration date
11/04/2021
Last updated
06/06/2023
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