Barbara Dougherty
Nurse Practitioner - Family Medicine
125 E Elm St Ste 201
Conshohocken
, Pennsylvania 19428-4150
Barbara Dougherty
Nurse Practitioner - Family Medicine
125 E Elm St Ste 201
Conshohocken
, Pennsylvania 19428-4150
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Barbara Dougherty
- 7863 Spring Ave
- Elkins Park, PA
- Zip : 19027-2619
- Phone :
Second Address
- Barbara Dougherty
- 125 E Elm St Ste 201
- Conshohocken, PA
- Zip : 19428-4150
- Fax : (610) 910-3890
- Phone : (877) 278-3697
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | SP011901 | PA |
National Provider Identifier
| NPI | 1003163577 |
|---|---|
| Provider Name | Barbara Dougherty |
| First Address | Elkins Park, PA 19027-2619 |
| Second Address | Conshohocken, PA 19428-4150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2012 |
| Last Update Date | 16/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.