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NPI Code Detail

MEDICARE: ANNMARIE BUTCHER NP

MEDICARE: ANNMARIE BUTCHER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704306504MI

General Provider Information

NPI Number : 1386131084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNMARIE BUTCHER NP
Provider Business Mailing Address
First Line : 3010 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1264
Country : US
Telephone Number : 248-709-7368
Fax Number :
Provider Business Practice Location Address
First Line : 3010 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1264
Country : US
Telephone Number : 248-709-7368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 02/28/2025

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