Individual
BRETTNEY DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P., D.N.P.
Contact information
Practice address
1711 OCEAN PARK BLVD, SANTA MONICA, CA 90405-4901
(310) 450-2191
Mailing address
648 SUNFISH WAY, PORT HUENEME, CA 93041-3504
(661) 747-3788
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95003505
CA
Other
Enumeration date
12/22/2015
Last updated
10/10/2019
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