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Nicole Butler
NPI 1407617111 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5516 Rolling Meadows Way
Camillus, NY 13031 - Phone
- (315) 882-7630
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 171400000X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York