Individual
HEATHER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 ST. PAUL PLACE, 8TH FLOOR, BALTIMORE, MD 21202
(410) 659-2802
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R176329
MD
Other
Enumeration date
03/30/2015
Last updated
11/26/2021
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