Individual
MELISSA ANN DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
204 W 26TH ST, ERIE, PA 16508-1806
(814) 864-4755
(814) 864-5430
Mailing address
13633 RIDGE RD, WEST SPRINGFIELD, PA 16443-9447
(814) 882-5318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027132
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
0027913
OH
Other
Enumeration date
09/28/2021
Last updated
04/26/2023
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