Individual
MR. EDWARD J DAIGLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 WASHINGTON PARK LANE, SUITE 600, TULLAHOMA, TN 37388
(931) 454-9810
(931) 393-1020
Mailing address
PO BOX 1087, TULLAHOMA, TN 37388-1087
(931) 454-9810
(931) 393-1020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10633
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3609026
—
TN
01
—
4026923
BLUECROSS
TN
Enumeration date
06/13/2006
Last updated
07/08/2007
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