Individual
MRS. JANETTE ETHEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP/C.N.M
Contact information
Practice address
4401 N CAMPUS RDG DR STE LL110, MIDLAND, MI 48640-6126
(989) 837-9400
Mailing address
4401 N CAMPUS RIDGE DR STE B2200, MIDLAND, MI 48640-6193
(989) 837-9400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704134869
MI
363LW0102X
Women's Health Nurse Practitioner
4704134869
MI
367A00000X
Advanced Practice Midwife
4704134869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M41070-028
MICHIGAN MEDICARE
—
Enumeration date
10/31/2005
Last updated
07/21/2022
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