Melanie Nicole Butcher, RN
Individual provider Active NPI Registered Nurse · Axtell, TX
NPI 1164023586 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1164023586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 704705 (TX)
- Practice address
- 617 Cavin LN
Axtell, TX 76624-1280 - Phone
- (254) 523-5419
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704705 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 704705 | TX | Yes |
Addresses
Primary practice location
617 Cavin LN
Axtell, TX 76624-1280
Mailing address
617 Cavin LN
Axtell, TX 76624-1280
Phone (254) 523-5419
Other providers in Axtell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.