Laura Sue Daugherty, | |
96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 | |
(717) 812-2400 | |
Not Available |
Full Name | Laura Sue Daugherty |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 96 Sofia Dr Ste 208, Shrewsbury, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760226526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN741676 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP030451 (Pennsylvania) | Primary |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Laura Sue Daugherty, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 812-2400 | Laura Sue Daugherty, 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 Ph: (717) 812-2400 |
Marcie Walter, MS, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Sofia Dr Ste 208, Shrewsbury, PA 17361 Phone: 717-812-2400 Fax: 717-812-3005 | |
Phillip Robert Macdonald, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Sofia Dr Ste 208, Shrewsbury, PA 17361 Phone: 717-812-2400 Fax: 717-812-3005 | |
Mrs. Candace Katelynn Fazenbaker, CRNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Sofia Dr, Shrewsbury, PA 17361 Phone: 717-812-2400 | |
Christine Marie Hudgins, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16312 Mount Airy Rd, Shrewsbury, PA 17361 Phone: 717-227-3800 Fax: 717-227-3802 |