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Individual

STEPHANIE LYNN BUTLER MCKILLOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC, CCRN

Contact information

Practice address
602 S AUDUBON AVE STE B, TAMPA, FL 33609-4217
(813) 400-1629
Mailing address
18487 WHYTELEAFE CT, LAND O LAKES, FL 34638-8184
(402) 617-6945

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9277500
FL

Other

Enumeration date
06/02/2017
Last updated
06/02/2017
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