Provider Demographics
NPI:1811518681
Name:WAGGLE, DARCIE ANN (CNA)
Entity type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:ANN
Last Name:WAGGLE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 WATER OAK
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2074
Mailing Address - Country:US
Mailing Address - Phone:210-569-3918
Mailing Address - Fax:
Practice Address - Street 1:997 WATER OAK
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2074
Practice Address - Country:US
Practice Address - Phone:210-569-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA08948420376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
617810300OtherDOL