Individual
MR. MICHAEL JAMES BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
751 FOREST AVE, SUITE 200, ZANESVILLE, OH 43701-2868
(740) 455-7670
Mailing address
5120 BRENTWOOD PARK, NASHPORT, OH 43830-8011
(740) 328-7936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2003031294
MO
363LA2100X
Acute Care Nurse Practitioner
2014008350
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.15957-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105686
—
OH
Enumeration date
04/27/2014
Last updated
02/08/2017
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