Individual
MS. CHANNIN D DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 CORPORATE WOODS, 10870 BENSON DRIVE #2160, OVERLAND PARK, KS 66210-6621
(833) 357-3227
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 498-5840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23205
CA
363LF0000X
Family Nurse Practitioner
3007357
KY
Other
Enumeration date
03/05/2012
Last updated
01/29/2021
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