Individual
SAMANTHA MARIE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3030
Mailing address
3403 JAYLYNN CT, EVANSVILLE, IN 47725-7574
(812) 842-3030
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28229011A
IN
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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