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Individual

JOHANNAH BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
12100 BLACK SWAN DR, LEWES, DE 19958-4991
(302) 645-1315
Mailing address
12100 BLACK SWAN DR, LEWES, DE 19958-4991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0012473
DE
363LF0000X
Family Nurse Practitioner
R196037
MD

Other

Enumeration date
11/25/2013
Last updated
12/04/2023
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