Individual
MACKENZIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
9574 183RD AVE SE, BECKER, MN 55308-8572
(320) 815-7352
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R220419-2
MN
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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