Individual
MEGAN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Mailing address
15059 N SCOTTSDALE RD STE 600, SCOTTSDALE, AZ 85254-2685
(602) 778-3600
(602) 778-3602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9316-33
WI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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