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NPI Code Detail

MEDICARE: FRANCES J DOUGHERTY CRNP

MEDICARE:   FRANCES J DOUGHERTY  CRNP
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
1363LF0000XFamily Nurse PractitionerSP007461PA

General Provider Information

NPI Number : 1891962353
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES J DOUGHERTY CRNP
Provider Business Mailing Address
First Line : 2000 OXFORD DR
Second Line : SUITE 110
City : PITTSBURGH
State : PA
Zip : 15102
Country : US
Telephone Number : 412-942-7115
Fax Number :
Provider Business Practice Location Address
First Line : 4201 HENRY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-5409
Country : US
Telephone Number : 215-951-2986
Fax Number : 215-951-6867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 11/22/2024

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