Angela Nicole Daugherty (NPI# 1437669165, PAC ID# 3274890371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437669165 |
| PAC ID by PECOS | 3274890371 |
| Professional Enrollment ID | I20171128001338 |
| Full Name | Angela Nicole Daugherty |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Address |
19021 Us Hwy 285 La Jara CO 81140-9410 |
| Phone Number | 7192745121 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789589094 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060008 | SAN LUIS VALLEY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 19021 Us Hwy 285, La Jara, CO 81140-9410 | 7192745121 | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalee Chavez-miller | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Edward F Kulp | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Rachel A Weinzimmer | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Derek Christopher Liston | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Gary W Bong | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mark Dewitt Talmage | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Richard A Walsh | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Laura P Edgerley-gibb | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Street Address |
19021 US HWY 285 |
| City | LA JARA |
| State | CO |
| Zip | 81140-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Walker | Family Practice | Lutheran Hospital Association of The San Luis Valley | 19021 Us Hwy 285, La Jara, CO 81140-9410 |
| Linda E Doyle-limmer | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 19021 Us Hwy 285, La Jara, CO 81140-9410 |
| Ellen W Call | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 19021 Us Hwy 285, La Jara, CO 81140-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred Vaughn D Jackson | Family Medicine | 416 Main St, La Jara, CO 81140-0272 |
| City | LA JARA |
| Zip Code | 81140 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LA JARA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela Nicole Daugherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.