Individual
KERI LILLIAN DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 450-9000
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP137052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382600001
—
TX
01
—
382600002
CSHCN
TX
Enumeration date
03/21/2018
Last updated
06/11/2018
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