Individual
NICHOLAS ISAIAH BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
99 NE 166TH ST, NORTH MIAMI BEACH, FL 33162-3439
(786) 282-1232
Mailing address
99 NE 166TH ST, NORTH MIAMI BEACH, FL 33162-3439
(786) 282-1232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-88979
HI
163W00000X
Registered Nurse
Primary
RN9483340
FL
164W00000X
Licensed Practical Nurse
PN5211645
FL
Other
Enumeration date
09/24/2014
Last updated
10/26/2018
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