MEDICARE: MS. MARY R BUTLER 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
1	363L00000X	Nurse Practitioner	2761	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093766487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY R BUTLER NP

Provider Business Mailing Address
First Line	:	2301 S ONEIDA ST
Second Line	:
City	:	ASHWAUBENON
State	:	WI
Zip	:	54304-5230
Country	:	US
Telephone Number	:	920-497-7783
Fax Number	:	920-497-7789

Provider Business Practice Location Address
First Line	:	2301 S ONEIDA ST
Second Line	:
City	:	ASHWAUBENON
State	:	WI
Zip	:	54304-5230
Country	:	US
Telephone Number	:	920-497-7783
Fax Number	:	920-497-7789

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/07/2022

Similar Medicare Providers

1174711469 — KAREN A SANCHEZ FNP-C
Practice Location Address:

2301 S ONEIDA ST
ASHWAUBENON, WI
54304-5230

Practice Phone: 920-497-7783
Practice Fax: 920-497-7789

1598146623 — SHANNON OPEL SWIFT PA-C
Practice Location Address:

2301 S ONEIDA ST
ASHWAUBENON, WI
54304-5230

Practice Phone: 920-497-7783
Practice Fax: 920-497-7789

1144835554 — KELLAND CHEN PHARMD
Practice Location Address:

2301 S ONEIDA ST
ASHWAUBENON, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax:

1033124185 — WALGREEN CO
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0420
Practice Fax:

1598040669 — GREGORY PATRICK BARNES RPH
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax: 920-490-0651

1689959710 — MRS. CASEY ANN THIBODEAU PHARMD
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax: 920-490-0651

Directions to “ MS. MARY R BUTLER NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.