Provider Demographics
NPI:1205187499
Name:DANIEL, VALERIE BUTLER (NP-C)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:BUTLER
Last Name:DANIEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 JULIA ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-2608
Mailing Address - Country:US
Mailing Address - Phone:318-728-4787
Mailing Address - Fax:318-728-2598
Practice Address - Street 1:832 JULIA ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-2608
Practice Address - Country:US
Practice Address - Phone:318-728-4787
Practice Address - Fax:318-728-2598
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2315285Medicaid