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NPI Code Detail

MEDICARE: NANCY BUTHMAN ARNP

MEDICARE: NANCY BUTHMAN ARNP
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 PractitionerARNP1907832FL

Other Identifiers

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

General Provider Information

NPI Number : 1851382725
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY BUTHMAN ARNP
Provider Business Mailing Address
First Line : PO BOX 1357
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-1357
Country : US
Telephone Number : 239-278-3600
Fax Number : 239-278-3857
Provider Business Practice Location Address
First Line : 3511 DR. MARTIN LUTHER KING JR BLVD.
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-3157
Country : US
Telephone Number : 239-332-0954
Fax Number : 239-332-0941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 05/05/2010

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