Samantha Diane Daugherty
FNP | Nurse Practitioner | 5+ years Exp
5225 23rd Ave S, Fargo
North Dakota, 58104-7927
701-417-2575
Samantha Diane Daugherty is a Fargo, North Dakota based nurse practitioner with 5 years of experience in Nurse Practitioner. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samantha Diane Daugherty is R49889 in North Dakota. Her current practice location is 5225 23rd Ave S, Fargo. Patients can reach her at 701-417-2575. Samantha Diane Daugherty is FNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1184227068.
Samantha Diane Daugherty has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Samantha Diane Daugherty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Samantha Diane Daugherty |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5225 23rd Ave S, Fargo,
North Dakota, 58104-7927 |
| Phone: | 701-417-2575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3577977768 |
| Enrollment ID: | I20210129000846 |
| NPI Number: | 1184227068 |
| NPI Enumeration Date: | 21 Nov, 2020 |
| NPI Last Update On: | 06 Aug, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Diane Daugherty are as mentioned below.
| License Number | Specialization | State | Status | |
| R49889 | | North Dakota | Primary | |
| 95063542 | Registered Nurse | California | Secondary | |
| R042508 | Registered Nurse | South Dakota | Secondary | |
| R49889 | Family | North Dakota | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (350011) | Fargo, ND | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Samantha Diane Daugherty is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sanford Medical Center Fargo (8426967803) | 829 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Samantha Diane Daugherty
Po Box 5074,
Sioux Falls, South Dakota |
| Zip: | 57117-5074 |
Patients can reach Samantha Diane Daugherty at
5225 23rd Ave S, Fargo, North Dakota or can
call to book an appointment on 701-417-2575.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.