Individual
CAROLINE L DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Mailing address
3400 SPRUCE ST, 9 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
VP005953P
PA
Other
Enumeration date
10/05/2006
Last updated
08/14/2012
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