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Organization

MICGRA PSYCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ODETTE AMANDA E BUTLER PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(206) 905-3600
Entity
Organization

Contact information

Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(206) 905-3600
Mailing address
555 ANDOVER PARK W STE 200, TUKWILA, WA 98188-3379
(206) 905-3600
(206) 485-4710

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/30/2025
Last updated
02/04/2026
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