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NPI Code Detail

MEDICARE: MS. CHIQUITHA A LAIRD RN, NP-BC.

MEDICARE: MS. CHIQUITHA A LAIRD RN, NP-BC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner612429TX
2363LW0102XWomen's Health Nurse PractitionerAP108766TX

General Provider Information

NPI Number : 1811009202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHIQUITHA A LAIRD RN, NP-BC.
Provider Business Mailing Address
First Line : 1301 W 38TH ST STE 300
Second Line : THE OB/GYN GROUP OF AUSTIN
City : AUSTIN
State : TX
Zip : 78705-1013
Country : US
Telephone Number : 512-454-5721
Fax Number : 512-454-2081
Provider Business Practice Location Address
First Line : 1301 W 38TH ST STE 300
Second Line : THE OB/GYN GROUP OF AUSTIN
City : AUSTIN
State : TX
Zip : 78705-1013
Country : US
Telephone Number : 512-454-5721
Fax Number : 512-454-2801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/14/2017

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