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Individual

MR. PAT BUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, PMHNP-BC

Contact information

Practice address
111 AMHERST DR, MANCHESTER, CT 06042-8543
(860) 977-8396
Mailing address
111 AMHERST DR, MANCHESTER, CT 06042-8543
(860) 977-8396

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006160
CT

Other

Enumeration date
10/07/2015
Last updated
10/07/2015
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