person
Mr. Stephan William Daugherty, NP
Family Nurse Practitioner in Los Angeles, California
NPI 1942902986

Stephan William Daugherty is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Stephan William Daugherty practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Stephan William Daugherty is 1942902986 and holds a License No. 95024505 (California).

The current practice location address for Stephan William Daugherty is 10889 Wellworth Ave, Los Angeles, CA and can be reached out via phone at 310-474-2152.

Location: 10889 Wellworth Ave, Los Angeles, CA, 90039-3956
person
Provider Profile Details
NPI Number
1942902986
Provider Name
Stephan William Daugherty
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
10889 Wellworth Ave, Los Angeles, CA, 90039-3956
Phone Number
310-474-2152
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10889 Wellworth Ave
City
State
Zip
90024-4918
Phone Number
310-474-2152
Fax Number
person
Provider Business Mailing Address Details
Address
10889 Wellworth Ave
City
State
Zip
90024-4918
Phone Number
310-474-2152
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95024505 (California)
Definition
Definition to come...
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