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STACY BUTLER
Nurse Practitioner
NPI: 1710632625IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
71012324A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 11104 PARKVIEW CIRCLE DR STE 10
FORT WAYNE, IN 46845 - Phone
- (260) 425-6070
Quick Facts
- NPI
- 1710632625
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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