Individual
MR. DENNIS B. MACDOUGALL
Active
Individual
MR. DENNIS B. MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009092
PA
363LA2100X
Acute Care Nurse Practitioner
0024165512
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP009092
PA
Other
Enumeration date
09/05/2006
Last updated
04/04/2023
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