Healthcare Provider Details

I. General information

NPI: 1295601946
Provider Name (Legal Business Name): PATRICIA D DAIKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17335 GOLF PKWY STE 100
BROOKFIELD WI
53045-0006
US

IV. Provider business mailing address

257 WESTBURY DR
COPPELL TX
75019-3327
US

V. Phone/Fax

Practice location:
  • Phone: 262-427-8940
  • Fax:
Mailing address:
  • Phone: 262-427-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SI0800X
TaxonomyInformatics Clinical Nurse Specialist
License Number529434
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number529434
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number529434
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: