Individual
PATRICIA L. DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2955 IVY RD, CHARLOTTESVILLE, VA 22903-9353
(434) 243-4720
(434) 243-4733
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 980-6140
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024124127
VA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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