Individual
MISTY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
596 E JACKSON BLVD UNIT B, ERWIN, NC 28339-9629
(910) 897-2008
Mailing address
596 E JACKSON BLVD UNIT B, ERWIN, NC 28339-9629
(910) 897-2008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81651
NC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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