Individual
JEFFREY BUTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
107 SOUTH 5TH ST, RICHMOND, VA 23219-3825
(804) 819-8709
Mailing address
107 SOUTH 5TH ST, RICHMOND, VA 23219-3825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171844
VA
Other
Enumeration date
07/12/2014
Last updated
03/11/2015
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