Individual
MS. MICHELLE RENEE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
351 RIVERSIDE DR, MOUNT AIRY, NC 27030-3877
(336) 786-7079
(336) 786-6312
Mailing address
2680 GROSVENOR PL APT 1, WINSTON SALEM, NC 27106-5244
(336) 748-0065
(336) 748-0065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009006136
NC
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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