Kimberly Daugherty

Nurse Practitioner · Van Nuys, CA

Individual Active NPI

NPI number 1508641705

Practice location

14541 Delano St
Van Nuys, CA 91411-2820
Phone
(877) 515-8113

Open in Google Maps

NPI record

NPI
1508641705
Entity type
Individual (Type 1)
Enumeration date
August 28, 2023
Last updated
October 24, 2023
Certified
October 21, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 95026843 CA

Mailing address

4478 9TH St
Riverside, CA 92501-3108
Phone
(951) 877-0141

About Kimberly Daugherty

Kimberly Daugherty is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 14541 Delano St, Van Nuys, CA 91411-2820. The NPI number 1508641705 was assigned on August 28, 2023 and the record was last updated on October 24, 2023.

Kimberly Daugherty lists a license in the registry: #95026843 (CA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Daugherty?

The NPI number is 1508641705.

What is the phone number of Kimberly Daugherty?

The phone number listed for the practice location is (877) 515-8113.

Where is Kimberly Daugherty located?

14541 Delano St, Van Nuys, CA 91411-2820.

What is the taxonomy code for Kimberly Daugherty?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Van Nuys

All Nurse Practitioner providers in Van Nuys, CA →