National Provider Identifier
Destiny M Daugherty, LPN
Destiny M Daugherty, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 709-5896.
Profile Overview
- NPI
- 1457080459
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 07, 2022
- Last Updated
- June 07, 2022
Practice Location
- 330 Eileen Dr
- Rochester, NY 14616-2239
Phone: (585) 709-5896
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1457080459
- Entity Type
- Individual
- Last Name
- Daugherty
- First Name
- Destiny
- Middle Name
- M
- Credential
- LPN
- Mailing Street Address
- 330 Eileen Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-2239
- Mailing Country
- US
- Practice Street Address
- 330 Eileen Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-2239
- Practice Country
- US
- Practice Phone
- (585) 709-5896
- Enumeration Date
- June 07, 2022
- Last Updated
- June 07, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)