Individual
ELIZABETH MEGAN BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 720-0205
Mailing address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 720-0205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33521
WV
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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