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Individual

SUSAN BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60604003
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326418187
WA
01
G8967974
WVH PTAN
WA
01
G8967975
WVH PTANS
WA
Enumeration date
10/05/2015
Last updated
07/21/2022
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