Daugherty, Alice Marie

Daugherty, Alice Marie is an individual health care provider with primary practice located at 27871 Medical Center Rd Suite 240, Mission Viejo CA 92691-6404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Daugherty, Alice Marie can be contacted via phone (949) 364-5090.

Contact Information

Primary practice address
27871 Medical Center Rd Suite 240 Mission Viejo CA 92691-6404
Phone: (949) 364-5090
Fax: (949) 542-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 498631 California

Profile Details

NPI number 1083621270
LBN Legal business name Daugherty, Alice Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 23rd, 2013 - about 13 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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