Individual
DANIELLE M DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
123 POPLAR RD, BEVERLY, WV 26253-1106
(304) 516-8170
Mailing address
123 POPLAR RD, BEVERLY, WV 26253-1106
(304) 516-8170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108622
WV
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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