Individual
AMANDA BUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
525 MAIN ST W, MELROSE, MN 56352-1043
(320) 256-4231
Mailing address
525 MAIN ST W, MELROSE, MN 56352-1043
(320) 256-4231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9174
MN
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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