DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REGAN B DOUGHERTY

MEDICARE: REGAN B DOUGHERTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse354096NC

General Provider Information

NPI Number : 1215871702
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN B DOUGHERTY
Provider Business Mailing Address
First Line : 2131 S 17TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 704-616-3350
Fax Number :
Provider Business Practice Location Address
First Line : 2131 S 17TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 910-667-7360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

Similar Medicare Providers

1154134229 — KAREN ZAYTOUN RYAN LCSW
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 252-670-0603
Practice Fax:
1215879754 — SALOMON ARIZA MD
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 910-343-7000
Practice Fax: 910-667-5650
1104769439 — KATRINA TAIWAN WILLIAMS
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 910-667-7000
Practice Fax:
1992708747 — WILMINGTON ANESTHESIOLOGISTS PLLC
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 910-442-1100
Practice Fax: 910-442-1199
1538161617 — CHRISTINE SANFORD NP
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 910-667-3985
Practice Fax: 910-667-6495
1295739647 — DR. THOMAS V CLANCY MD
Practice Location Address:
2131 S 17TH ST
WILMINGTON, NC
28401-7407
Practice Phone: 910-343-0161
Practice Fax:

Directions to “ REGAN B DOUGHERTY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.