Individual
MICHELE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
712 FITZWATERTOWN RD, GLENSIDE, PA 19038-1306
(215) 264-8104
Mailing address
712 FITZWATERTOWN RD, GLENSIDE, PA 19038-1306
(215) 264-8104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN335256L
PA
363L00000X
Nurse Practitioner
Primary
SP018383
PA
Other
Enumeration date
04/24/2018
Last updated
12/31/2022
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