Individual
MRS. FELICIA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3930 FLAGSTONE CT, FLORISSANT, MO 63033-4026
(314) 495-4011
Mailing address
3930 FLAGSTONE CT, FLORISSANT, MO 63033-4026
(314) 495-4011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112434
MO
Other
Enumeration date
07/03/2007
Last updated
07/25/2009
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