SearchIllinois363LF0000X

Mallory Butler, FNP

NPI 1467803049 · on the registry since 2016 · sole proprietor

Practice

Address
325 Spring St
Red Bun, IL 62278
Phone
(618) 282-3831
Fax
(618) 282-5476

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-29

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 Illinois