Individual
LAURA DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
580 CIBOLO VALLEY DR STE 221, CIBOLO, TX 78108
(210) 314-1820
(830) 268-4713
Mailing address
580 CIBOLO VALLEY DR STE 221, CIBOLO, TX 78108-3834
(210) 314-1820
(830) 268-4713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
759168
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP139325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173913801
—
TX
Enumeration date
08/27/2018
Last updated
06/21/2019
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