Individual provider · Type 1 NPI

Laura Kathleen Daugherty, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1245854819 Active

Practice location

8075 N Shadeland Ave Ste 310
Indianapolis, IN 46250-2694

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28201025A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X28201025A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1245854819

Laura Kathleen Daugherty, NP's National Provider Identifier is 1245854819, issued on May 29, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 1, 2022.