Individual
MS. MARY R BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 S ONEIDA ST, ASHWAUBENON, WI 54304-5230
(920) 497-7783
(920) 497-7789
Mailing address
2301 S ONEIDA ST, ASHWAUBENON, WI 54304-5230
(920) 497-7783
(920) 497-7789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41276100
—
WI
Enumeration date
05/12/2006
Last updated
03/07/2022
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