Individual
MARY A BUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11475 ROBINSON DR NW, MAIL STOP 32600A, COON RAPIDS, MN 55433-3746
(763) 754-4600
(763) 754-4614
Mailing address
8100 34TH AVE S, 2220 RIVERSIDE AVE S MAIL STOP 31700A, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1534737
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247785800
—
MN
Enumeration date
02/28/2006
Last updated
02/01/2009
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