| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHIREEN E. DAUGHERTY | 1538738117 | 2022-07-30 |
Shireen E. Daugherty is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538738117. Registration indicates Shireen E. Daugherty is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Shireen E. Daugherty APRN-CNP |
| Practice Office Address | 2050 KENNY RD COLUMBUS, OH US |
| Practice Office Telephone | 6142937171 |
| Practice Office Fax | 6142933465 |
| Mailing Address | 700 ACKERMAN RD STE 2120 COLUMBUS, OH 432021559 US |
| Business Telephone | 6142937171 |
| Business Fax | 6142933465 |
| Code | Practice | License No State |
|---|---|---|
| 363LP2300X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN.CNP.002837
OH |
| 363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN.CNP.002837
OH |
| 0460766 | MEDICAID | OH |