Individual
CAROLINE NICOLE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 KRAMS AVE, PHILADELPHIA, PA 19128-4733
(610) 427-3718
Mailing address
350 KRAMS AVE, PHILADELPHIA, PA 19128-4733
(610) 427-3718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN776027
PA
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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