Individual
MOLLY PATRICIA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
832 ROLLINGWOOD LN, FORT WAYNE, IN 46845-1053
(260) 385-0966
Mailing address
832 ROLLINGWOOD LN, FORT WAYNE, IN 46845-1053
(260) 385-0966
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28084371A
IN
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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