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Individual

MICHELLE RENEE DAUGHETY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
AP60294049
WA
363L00000X
Nurse Practitioner
11827
CA
363LF0000X
Family Nurse Practitioner
Primary
AP30007730
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1057044
WA
Enumeration date
11/01/2006
Last updated
07/11/2019
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