Individual
BAILEY MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 N BROADWAY AVE, HYDRO, OK 73048-8425
(833) 274-4174
(866) 274-4175
Mailing address
76642 N 2580 RD, WATONGA, OK 73772
(580) 791-3280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0117295
OK
363LF0000X
Family Nurse Practitioner
Primary
204967
OK
Other
Enumeration date
08/04/2021
Last updated
12/05/2023
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