Individual
HEATHER M DAIGLE-DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
361 BIRD ST, BRIDGEPORT, CT 06605-2804
(203) 332-3155
Mailing address
743 SOUTH AVE, MARINA VILLAGE, BRIDGEPORT, CT 06605
(203) 330-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
071726
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236130
—
CT
01
—
071726
STATE LICENSE
CT
Enumeration date
08/18/2008
Last updated
11/02/2010
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