Individual
DIANE D DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 453-5181
Mailing address
807 LAWN AVE, P.O. BOX 32, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 453-5181
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN501778L
PA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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