Daugherty, Brenda

Daugherty, Brenda is an individual health care provider with primary practice located at 1 Medical Center Drive Department Of Pediatrics, Morgantown WV 26506-9214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Daugherty, Brenda can be contacted via phone (304) 293-1202.

Contact Information

Primary practice address
1 Medical Center Drive Department Of Pediatrics Morgantown WV 26506-9214
Phone: (304) 293-1202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 25819 West Virginia

Profile Details

NPI number 1487761847
LBN Legal business name Daugherty, Brenda
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1487761847 NPPES
West Virginia MEDICAID 1510078
West Virginia MEDICAID 78014099
West Virginia MEDICAID 2565460
West Virginia MEDICAID 407133600

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