Individual
CRYSIL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
(612) 499-2260
Mailing address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198393-5
MN
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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