Individual
DENISE DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8600
(228) 467-8797
Mailing address
11520 PINE DR, GULFPORT, MS 39503-3911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858700
MS
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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