Individual provider · Type 1 NPI
Samantha Diane Daugherty, FNP
Nurse Practitioner · Fargo, ND
Practice location
5225 23rd Ave S
Fargo, ND 58104-7927
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice locations
- 801 N Broadway, Fargo, ND 58102 · (701) 234-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 95063542 (CA) |
| Medical-Surgical Registered Nurse | 163WM0705X | R042508 (SD) |
| Family Nurse Practitioner | 363LF0000X | R49889 (ND) |
| Nurse Practitioner Primary | 363L00000X | R49889 (ND) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1184227068
Samantha Diane Daugherty, FNP's National Provider Identifier is 1184227068, issued on Nov 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Aug 6, 2021.