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Contact Information

ROXANNE M BUTERAKOS, CNP
1 HURLEY PLZ
FLINT, MI48503-5902
 Phone: 810-262-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ROXANNE M BUTERAKOS · (Female)

NPI # 1588643175
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 01/11/2006
Last updated 04/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704185591
  • MI Medicaid 3433384
  • MI Other 0B51149 BLUE SHIELD
  • MI Other 0N84570005 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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