Provider Demographics
NPI:1932424165
Name:DAIGLE, LINSEY (FNP)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 DAVID DR # 2
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1300
Mailing Address - Country:US
Mailing Address - Phone:985-702-1220
Mailing Address - Fax:
Practice Address - Street 1:1234 DAVID DR # 2
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1300
Practice Address - Country:US
Practice Address - Phone:985-702-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily