Doctor Name: | VALERIE BUTLER DANIEL |
NPI Number: | 1205187499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | AP07068 |
Business Practice Address: | 1962 Julia St Rayville, LA - 71269 |
Business Phone Number: | 3187288833 |
Business Fax Number: | 3187286183 |
Mailing Address: | 102 Thomas Rd, Suite 205 WEST MONROE |
State: | LA |
Postal Code: | 712917366 |
Phone Number: | 3183291900 |
Fax Number: | 3183291901 |
NPI Enumeration Date: | 09/27/2012 |
NPI Last Update Date: | 02/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |