Provider Demographics
NPI:1245782390
Name:BUTLER, AMIE MICHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:MICHELLE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:522 W RIVERSIDE AVE # 5295
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0580
Mailing Address - Country:US
Mailing Address - Phone:360-200-0516
Mailing Address - Fax:855-551-4095
Practice Address - Street 1:522 W RIVERSIDE AVE # 5295
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:360-200-0516
Practice Address - Fax:855-551-4095
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9378924363LF0000X
OR202114868NP-PP363LF0000X
WAAP61468464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily