Individual
MONIQUE SHANTAE BUTLER
Active
Individual
MONIQUE SHANTAE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R223450
MD
174H00000X
Health Educator
R223450
MD
202D00000X
Integrative Medicine Physician
Primary
R223450
MD
207QA0505X
Adult Medicine Physician
R223450
MD
208D00000X
General Practice Physician
R223450
MD
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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