Individual
AMANDA BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403
(812) 676-4660
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 676-4660
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
28179003A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71007401A
IN
Other
Enumeration date
04/25/2017
Last updated
12/03/2020
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