Provider Demographics
NPI:1295601946
Name:DAIKER, PATRICIA D (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:DAIKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:257 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-3327
Mailing Address - Country:US
Mailing Address - Phone:262-427-8940
Mailing Address - Fax:
Practice Address - Street 1:17335 GOLF PKWY STE 100
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-0006
Practice Address - Country:US
Practice Address - Phone:262-427-8940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX529434163W00000X, 171400000X, 364SI0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SI0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistInformatics
No163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach