| Laura Sue Daugherty, | |
|
455 S Washington St Ste 12, Gettysburg, PA 17325 | |
| (717) 339-2875 | |
| Not Available |
| Full Name | Laura Sue Daugherty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 455 S Washington St Ste 12, Gettysburg, 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) 851-1405 | Laura Sue Daugherty, 455 S Washington St Ste 12, Gettysburg, PA 17325 Ph: (717) 339-2875 |
Karen Chalanick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 147 Gettys St, Gettysburg, PA 17325 Phone: 717-851-3884 | |
Beverly A Phiel-burkett, C.R.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 423 S Washington St, Gettysburg, PA 17325 Phone: 717-334-9259 | |
Tracey Long, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 S Washington St, Gettysburg, PA 17325 Phone: 717-334-2183 | |
Mrs. Ambyre C Pace, RN,MSN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 147 Gettys St, Gettysburg, PA 17325 Phone: 717-334-2121 | |
Caitlin J Ness, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 147 Gettys St, Gettysburg, PA 17325 Phone: 717-851-3884 Fax: 717-851-3382 | |
Mrs. Kathy Ann Miller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 423 S Washington St, Gettysburg, PA 17325 Phone: 717-339-3165 Fax: 717-334-3140 | |
Tiffany D Reabold, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W Broadway, Gettysburg, PA 17325 Phone: 717-337-4105 Fax: 717-798-3407 |