Individual
DR. BRENNA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1500 E HERITAGE PARK ST STE 125, MERIDIAN, ID 83646-5887
(208) 580-7033
Mailing address
1500 E HERITAGE PARK ST STE 125, MERIDIAN, ID 83646-5887
(085) 807-7032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220060
AZ
363L00000X
Nurse Practitioner
Primary
66812
ID
Other
Enumeration date
12/16/2018
Last updated
02/10/2023
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