Healthcare Provider Details

I. General information

NPI: 1295729002
Provider Name (Legal Business Name): DANIELLE NAEGLE RNP-C, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE NAEGLE

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 12/21/2021
Certification Date: 12/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST N-28
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

1101 VIA FRANCISCA
SAN PEDRO CA
90732-2304
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-3723
  • Fax:
Mailing address:
  • Phone: 310-831-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN548885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: