Individual
COLLEEN MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5 S WASHINGTON AVE, JERMYN, PA 18433-1121
(570) 230-0019
(270) 230-0013
Mailing address
836 N IRVING AVE, SCRANTON, PA 18510
(570) 335-7222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017680
PA
Other
Enumeration date
08/16/2017
Last updated
12/10/2020
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