Individual
PHYLLIS DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(727) 518-6444
(727) 581-2678
Mailing address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(727) 518-6444
(727) 581-2678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2106712
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2106712
FL
Other
Enumeration date
02/06/2008
Last updated
06/12/2020
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