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Individual

MRS. STACI LYNN BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-3420
(410) 341-3397
Mailing address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-3420
(410) 341-3397

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R221881
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R21881
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
07/16/2020
Last updated
02/15/2024
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