Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MALLORY ANN BUTLER, FNP
Active Sole ProprietorMRS. MALLORY ANN BUTLER, FNP is a Family Nurse Practitioner healthcare provider located in RED BUN, Illinois. NPI 1467803049 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · RED BUN, IL
Registration Details
- NPI Number
- 1467803049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2016 (10.129300994029 yrs)
- Last Updated
- Jun 29, 2021
- Licenses
-
2016018336 (MO)209014336 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 SPRING STRED BUN, IL, 62278Browse IL providers · Browse ZIP 62278
- Phone
- 6182823831
- Fax
- 6182825476
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.