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Tanita Breyannen Denae Butler, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Mansfield, TX

NPI
1073773545
Type
Individual (Type 1)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
License number
1080257 (TX)
Sex
Female
Sole proprietor
No
Enumerated
2008-06-10
Last updated
2022-08-05
Practice location
2200 Matlock Rd
Mansfield, TX 76063-3855
(817) 453-0267

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