| Doctor Name: | VICKI I BUTH |
| NPI Number: | 1013982180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | R1133961 |
| Business Practice Address: | 6545 France Ave S Ste 540 Edina, MN - 55435 |
| Business Phone Number: | 9529274045 |
| Business Fax Number: | 9529244133 |
| Mailing Address: | 6545 France Ave S, Ste 540 EDINA |
| State: | MN |
| Postal Code: | 55435 |
| Phone Number: | 9529274045 |
| Fax Number: | 9529244133 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | R1133961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |