Danielle M Dougherty, FNP-BC
Nurse Practitioner, Family in Beverly, WV. Individual provider (NPI-1).
NPI number1649859638
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1649859638
- Entity type
- Individual (NPI-1)
- Name
- Danielle M Dougherty
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 108622 | WV | Yes |
Practice location
123 Poplar RdBeverly, WV 26253-1106
Phone 304-516-8170
Mailing address
123 Poplar RdBeverly, WV 26253-1106
Phone 304-516-8170
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