Individual
MAXINE ANTONETTE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN MSHCA
Contact information
Practice address
620 JOHN PAUL JONES CIR STE 275, PORTSMOUTH, VA 23708-2197
(757) 953-4018
Mailing address
913 EMORY CT, VIRGINIA BEACH, VA 23464-8314
(757) 343-4435
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001149681
VA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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