Individual
MS. AMY ALICIA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
800 SPRUCE, PHILADELPHIA, PA 19107-5211
(215) 615-3020
Mailing address
1331 S ALDER ST, PHILADELPHIA, PA 19147-5620
(215) 313-8563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
108881
WV
363LF0000X
Family Nurse Practitioner
26NJ00912600
NJ
363LF0000X
Family Nurse Practitioner
4704371677
MI
363LF0000X
Family Nurse Practitioner
95021191
CA
363LF0000X
Family Nurse Practitioner
APRNCNP0029439
OH
363LF0000X
Family Nurse Practitioner
F349441-01
NY
363LF0000X
Family Nurse Practitioner
LG-0011673
DE
363LF0000X
Family Nurse Practitioner
R237822
MD
363LF0000X
Family Nurse Practitioner
RN2361699
MA
363LF0000X
Family Nurse Practitioner
Primary
SP011230
PA
Other
Enumeration date
07/26/2011
Last updated
06/28/2022
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