Butte, Mary A

Butte, Mary A is an individual health care provider with primary practice located at 11475 Robinson Dr Nw Mail Stop 32600A, Coon Rapids MN 55433-3746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Butte, Mary A can be contacted via phone (763) 754-4600.

Contact Information

Primary practice address
11475 Robinson Dr Nw Mail Stop 32600A Coon Rapids MN 55433-3746
Phone: (763) 754-4600
Fax: (763) 754-4614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1534737 Minnesota

Profile Details

NPI number 1710953781
LBN Legal business name Butte, Mary A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710953781 NPPES
Minnesota MEDICAID 247785800

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