Individual
TIMOTHY BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
1912 PEPPERHILL CT, HENRICO, VA 23238-3812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001276692
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189238
VA
Other
Enumeration date
02/14/2023
Last updated
01/23/2024
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