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Individual

ALLISON K. DOUTHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
4687 POUNCEY TRACT RD, GLEN ALLEN, VA 23059-5802
(804) 422-5437
Mailing address
13803 GARRISON PLACE DR, MIDLOTHIAN, VA 23112-4043
(804) 201-5650

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024186167
VA

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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