Daugherty, Melanie

Daugherty, Melanie is an individual health care provider with primary practice located at 399 Farmington Ave Suite 200, Farmington CT 06032-1936. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Daugherty, Melanie can be contacted via phone (860) 246-2071.

Contact Information

Primary practice address
399 Farmington Ave Suite 200 Farmington CT 06032-1936
Phone: (860) 246-2071
Fax: (860) 674-4260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000268 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 003029 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003029 Connecticut

Profile Details

NPI number 1295838399
LBN Legal business name Daugherty, Melanie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jun 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295838399 NPPES
Connecticut Other 1295838399 ANTHEM BLUE CROSS BLUE SHIELD
Connecticut MEDICAID 004243177 ANTHEM BLUE CROSS BLUE SHIELD

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