Individual
MRS. AMY L DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 VA CTR, TOGUS VAMC, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
PO BOX 151, LISBON FALLS, ME 04252-0151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP101049
ME
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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