Daugherty, Samantha Diane

Daugherty, Samantha Diane is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Daugherty, Samantha Diane can be contacted via phone (701) 417-2575.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (701) 417-2575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 95063542 California
Nursing Service Providers / Medical-Surgical 163WM0705X R042508 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R49889 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R49889 North Dakota

Profile Details

NPI number 1184227068
LBN Legal business name Daugherty, Samantha Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2020
Last updated Aug 6th, 2021 - about 3 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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