Individual
MRS. JUDITH ANN DOUGHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4303
Mailing address
195 BARNSLEY AVE, HUNTINGDON VALLEY, PA 19006
(215) 947-4721
(215) 947-6083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN215554L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50086171
CAPITAL BLUE CROSS
PA
01
—
P00620736
RAILROAD MEDICARE
PA
Enumeration date
06/09/2005
Last updated
07/07/2009
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