Individual
MARI LYNNE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
540 WAUGH ST, JEFFERSON, NC 28640-9034
(336) 899-4591
Mailing address
395 HEMLOCK RD, BANNER ELK, NC 28604-8833
(336) 899-4591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1191002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305437300
—
FL
01
—
Y7991
BCBS
FL
Enumeration date
07/11/2006
Last updated
12/03/2025
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