Provider Demographics
NPI:1053445916
Name:BUTLER, DAYLE MARIE (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DAYLE
Middle Name:MARIE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:DR
Other - First Name:DALE
Other - Middle Name:M
Other - Last Name:REIGER-BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, FNP-BC
Mailing Address - Street 1:89 SOUTH RT 9W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993
Mailing Address - Country:US
Mailing Address - Phone:845-422-8181
Mailing Address - Fax:866-981-2761
Practice Address - Street 1:89 SOUTH RT 9W
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993
Practice Address - Country:US
Practice Address - Phone:845-422-8181
Practice Address - Fax:866-981-2761
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00168100363LF0000X
NY33-334751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily