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Individual

MITHRA BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
(504) 324-7791
Mailing address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08649
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP08649
LA

Other

Enumeration date
01/29/2016
Last updated
01/07/2022
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