MRS. BRENDA DAUGHERTY NNP NPI 1487761847

NPI Information

NPI: 1487761847
Provider Name: MRS. BRENDA DAUGHERTY, NNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
1 MEDICAL CENTER DRIVE
DEPARTMENT OF PEDIATRICS
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-1202
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MRS. Brenda Daugherty, NNP is a neonatal and critical care nurse practitioner in Morgantown, WV. MRS. Brenda Daugherty, NNP NPI is 1487761847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEDICAL CENTER DRIVE
DEPARTMENT OF PEDIATRICS
MORGANTOWN, WV
ZIP 26506-214
Phone: (304) 293-1202

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	25819	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	78014099	MEDICAID	KENTUCKY
2	1510078	MEDICAID	WEST VIRGINIA
3	407133600	MEDICAID	MARYLAND
4	2565460	MEDICAID	OHIO
5	Q37953	MEDICARE UPIN	WEST VIRGINIA
6	DA6032761	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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