Individual
MONICA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19300 MAYFAIR LN, CLEVELAND, OH 44128-2725
(216) 283-0041
Mailing address
24560 LAING RD, BEDFORD HTS, OH 44146-4037
(216) 288-2563
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN 337886
OH
163WW0000X
Wound Care Registered Nurse
RN 337886
OH
363LF0000X
Family Nurse Practitioner
024461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0340754
FNP PROVIDER #
OH
Enumeration date
11/15/2008
Last updated
05/01/2019
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