Individual
JOYCE T DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 340-2687
Mailing address
3998 FAIR RIDGE DR, SUITE300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN502922L
PA
Other
Enumeration date
09/11/2012
Last updated
03/20/2015
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