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Individual

KATHERINE DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1 CVS DR, WOONSOCKET, RI 02895-6195
(410) 643-3007
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6195
(410) 643-3007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R186751
MD

Other

Enumeration date
02/27/2019
Last updated
08/05/2021
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