Organization
DEBORAH DOUGHERTY FNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH DOUGHERTY MSN, FNP (NURSE PRACTITIONER)
(585) 315-6441
Entity
Organization
Contact information
Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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