Individual
MRS. SHARON DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2223 WHARTON RD, GLENSIDE, PA 19038-4805
(215) 884-1177
Mailing address
2223 WHARTON RD, GLENSIDE, PA 19038-4805
(215) 884-1177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN667862
PA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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