National Provider Identifier
Shannon Daugherty, NP
Shannon Daugherty, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Horseheads, NY and a listed phone number of (607) 739-3874.
Profile Overview
- NPI
- 1669441044
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- March 16, 2006
- Last Updated
- June 22, 2011
Practice Location
- 31 Arnot RD
- Suite A
- Horseheads, NY 14845-8533
Phone: (607) 739-3874
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1669441044
- Entity Type
- Individual
- Last Name
- Daugherty
- First Name
- Shannon
- Name Prefix
- MS.
- Credential
- NP
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 31 Arnot RD
- Practice Address Line 2
- Suite A
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8533
- Practice Country
- US
- Practice Phone
- (607) 739-3874
- Practice Fax
- (607) 739-3632
- Enumeration Date
- March 16, 2006
- Last Updated
- June 22, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- CC8362 (NY, Rr Medicare Group), P00098788 (NY, Rr Medicare Pin), 02388796 (NY)