Provider Demographics
NPI:1811009202
Name:LAIRD, CHIQUITHA A (RN, NP-BC)
Entity Type:Individual
Prefix:MS
First Name:CHIQUITHA
Middle Name:A
Last Name:LAIRD
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Gender:F
Credentials:RN, NP-BC
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Mailing Address - Street 1:1301 W 38TH ST STE 300
Mailing Address - Street 2:THE OB/GYN GROUP OF AUSTIN
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1013
Mailing Address - Country:US
Mailing Address - Phone:512-454-5721
Mailing Address - Fax:512-454-2081
Practice Address - Street 1:1301 W 38TH ST STE 300
Practice Address - Street 2:THE OB/GYN GROUP OF AUSTIN
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1013
Practice Address - Country:US
Practice Address - Phone:512-454-5721
Practice Address - Fax:512-454-2801
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-02-14
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Provider Licenses
StateLicense IDTaxonomies
TX612429363L00000X
TXAP108766363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner