Individual
MRS. BRONWYN ELIZABETH DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
Mailing address
21845 PLACENTIA FARM LN, LEONARDTOWN, MD 20650-4118
(301) 475-2408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R100470
MD
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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