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Contact Information

SAMANTHA D DAUGHERTY, FNP
5225 23RD AVE S
FARGO, ND58104-7927
 Phone: 701-417-2575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for SAMANTHA D DAUGHERTY · (Female)

NPI # 1184227068
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/21/2020
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95063542
  • ND License # R49889
  • SD License # R042508
Hospital affiliation(s)
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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