Provider Demographics
NPI:1124828504
Name:BUTLER, TONYA D
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:D
Last Name:BUTLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-6152
Mailing Address - Country:US
Mailing Address - Phone:609-508-7783
Mailing Address - Fax:
Practice Address - Street 1:629 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-6152
Practice Address - Country:US
Practice Address - Phone:609-508-7783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula