Individual
MARIAH BENSON BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
180 N 5TH ST, PONCHATOULA, LA 70454-2532
(985) 370-7546
Mailing address
2415 CATO ST, BATON ROUGE, LA 70808-1418
(985) 974-7099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226612
LA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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