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Mira Daugherty, APRN
Primary Care Nurse Practitioner in Danville, Kentucky
NPI 1992207088

Mira Daugherty is a Primary Care Nurse Practitioner based in Hustonville, KY and is specialized in Primary Care. Mira Daugherty practices in Danville, KY and has the professional credentials of APRN. The NPI Number for Mira Daugherty is 1992207088 and holds a License No. 3012025 (Kentucky).

The current practice location address for Mira Daugherty is 430 W Main St, Danville, KY and can be reached out via phone at 502-219-3488.

Location: 430 W Main St, Danville, KY, 40437-8304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992207088
Provider Name
Mira Daugherty
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
430 W Main St, Danville, KY, 40437-8304
Phone Number
502-219-3488
Fax Number
Provider Enumeration Date
03/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100522600 05 KY
institution
Provider Business Practice Location Address Details
Address
430 W Main St
City
Danville
State
Kentucky
Zip
40422-1888
Phone Number
502-219-3488
Fax Number
person
Provider Business Mailing Address Details
Address
430 W Main St
City
Danville
State
Kentucky
Zip
40422-1888
Phone Number
502-219-3488
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
3012025 (Kentucky)
Definition
Definition to come...
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