Individual
BARBARA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
125 E ELM ST STE 201, CONSHOHOCKEN, PA 19428-4150
(877) 278-3697
(610) 910-3890
Mailing address
7863 SPRING AVE, ELKINS PARK, PA 19027-2619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011901
PA
Other
Enumeration date
08/14/2012
Last updated
12/16/2020
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