Patricia Anne Dougherty, MSN
Nurse Practitioner, Pediatrics in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669910402
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1669910402
- Entity type
- Individual (NPI-1)
- Name
- Patricia Anne Dougherty
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2017
- Last updated
- Jan 31, 2017
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 |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | SP017055 | PA | Yes |
Practice location
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-1000
Mailing address
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-1000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 607 Pediatric Nurse Practitioner providers in Philadelphia · All 53,595 providers in Philadelphia
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