Daughety, Michelle Renee

Daughety, Michelle Renee is an individual health care provider with primary practice located at 1806 W Lincoln Ave , Yakima WA 98902. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Daughety, Michelle Renee can be contacted via phone (509) 452-4520.

Contact Information

Primary practice address
1806 W Lincoln Ave Yakima WA 98902
Phone: (509) 452-4520
Fax: (509) 452-5224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11827 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007730 Washington
Other Service Providers / Midwife 176B00000X AP60294049 Washington

Profile Details

NPI number 1932287307
LBN Legal business name Daughety, Michelle Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 11th, 2019 - about 5 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 1932287307 NPPES
Washington MEDICAID 1057044

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