Individual
VICKI I BUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6545 FRANCE AVE S, STE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Mailing address
6545 FRANCE AVE S, STE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R1133961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083462900
—
MN
01
—
39D22BU
BCBS OF MINNESOTA
—
01
—
HP48195
HEALTHPARTNERS OF MN
—
Enumeration date
02/21/2006
Last updated
03/09/2016
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