Individual provider · Type 1 NPI

Regina Alisa Butler, NURSE PRACTITIONER

Family Nurse Practitioner · Pontiac, MI

NPI number 1386158566 Active

Practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

1163 Neafie Ave
Pontiac, MI 48342-1966

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704181194 (MI)
Registered Nurse 163W00000X81235 (SC)
Case Management Registered Nurse 163WC0400X4704181194 (MI)
Family Nurse Practitioner 363LF0000X21777 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1386158566

Regina Alisa Butler, NURSE PRACTITIONER's National Provider Identifier is 1386158566, issued on Nov 26, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pontiac, MI. The record was last updated on Feb 22, 2019.