Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas James Buttermore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063114619

Nicholas James Buttermore is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

611 E Douglas Rd
Mishawaka, IN 46545-1464
Phone: (574) 335-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063114619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 19, 2023
Mailing address611 E Douglas Rd, Mishawaka, IN 46545-1464

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