Individual
MRS. WANDA FAYE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971
Mailing address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56221
OK
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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