National Provider Identifier
Bonita Daugherty, LPN
Bonita 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 (404) 824-3289.
Profile Overview
- NPI
- 1821844697
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 24, 2024
- Last Updated
- April 24, 2024
Practice Location
- 472 Tremont St
- Rochester, NY 14608-2350
Phone: (404) 824-3289
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821844697
- Entity Type
- Individual
- Last Name
- Daugherty
- First Name
- Bonita
- Credential
- LPN
- Mailing Street Address
- 472 Tremont St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2350
- Mailing Country
- US
- Mailing Phone
- (404) 824-3289
- Practice Street Address
- 472 Tremont St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2350
- Practice Country
- US
- Practice Phone
- (404) 824-3289
- Enumeration Date
- April 24, 2024
- Last Updated
- April 24, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)