Individual
MEGAN BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7916 W JEFFERSON BLVD, SUITE 112, FORT WAYNE, IN 46804-4140
(260) 969-7218
Mailing address
7803 PRESTON POINTE DR, FORT WAYNE, IN 46804-5705
(260) 403-4485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28197696A
IN
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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