Provider Demographics
NPI:1265959910
Name:BUTTERBRODT, DANA MARIE (MSN, FNP-C, APNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:BUTTERBRODT
Suffix:
Gender:F
Credentials:MSN, FNP-C, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 NORTHVIEW LN UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-1048
Mailing Address - Country:US
Mailing Address - Phone:715-944-6038
Mailing Address - Fax:
Practice Address - Street 1:3004 GOLF RD STE 100
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-8794
Practice Address - Country:US
Practice Address - Phone:715-514-2827
Practice Address - Fax:888-606-1323
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7941-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily