| Doctor Name: | HEIDI DAUGHERTY |
| NPI Number: | 1174845135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, IBCLC |
| License Number: | 28138372A |
| Business Practice Address: | 661 Robin Dr Ellettsville, IN - 474291635 |
| Business Phone Number: | 8123617465 |
| Business Fax Number: | |
| Mailing Address: | 661 Robin Dr, ELLETTSVILLE |
| State: | IN |
| Postal Code: | 474291635 |
| Phone Number: | 8123617465 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 28138372A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |