Individual
CAITLIN J DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3624 MARKET ST STE 201, PHILADELPHIA, PA 19104-2614
(215) 662-7772
Mailing address
3624 MARKET ST, STE 201, PHILADELPHIA, PA 19104-5560
(215) 829-3523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012097
PA
Other
Enumeration date
09/12/2012
Last updated
01/02/2019
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