Individual
LAURA MARIE BUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
Mailing address
3421 W HERITAGE AVE, APPLETON, WI 54914-1005
(920) 858-4347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10124
WI
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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