Provider Demographics
NPI:1295729002
Name:NAEGLE, DANIELLE (RNP-C, MSN)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:NAEGLE
Suffix:
Gender:F
Credentials:RNP-C, MSN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:NAEGLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1101 VIA FRANCISCA
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-2304
Mailing Address - Country:US
Mailing Address - Phone:310-831-5916
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:N-28
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-3723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN548885363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology