Individual
MRS. TRICIA LEE BUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2403 W WRANGLER BLVD STE A, SEMINOLE, OK 74868
(405) 382-4939
(405) 242-5928
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
(405) 972-7239
(405) 753-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095680C
—
OK
Enumeration date
06/20/2005
Last updated
06/25/2018
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