Individual
MISS HEIDI MAE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4565 DRESSLER RD NW, SUITE 111, CANTON, OH 44718-2549
(330) 493-0013
(330) 493-6973
Mailing address
4565 DRESSLER RD NW, SUITE 111, CANTON, OH 44718-2549
(330) 493-0013
(330) 493-6973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-10102
OH
Other
Enumeration date
08/25/2008
Last updated
11/04/2013
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