Individual
TABITHA BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
146 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1537
Mailing address
4959 EVANSVIEW RD, EVANS, WV 25241-8144
(304) 373-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109317
WV
363LA2100X
Acute Care Nurse Practitioner
109317
WV
363LW0102X
Women's Health Nurse Practitioner
109317
WV
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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