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Lindsay Bray Dougherty

Nurse Practitioner, Adult Health in Philadelphia, PA. Individual provider (NPI-1).

NPI number1669957155
StatusActive
Last updated in NPPESDec 10, 2019

Details

NPI
1669957155
Entity type
Individual (NPI-1)
Name
Lindsay Bray Dougherty
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2018
Certification date
Dec 10, 2019
Last updated
Dec 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthSP021083PAYes
363L00000X Nurse PractitionerLP-0000277DE

Practice location

3400 Civic Center Blvd
3 West
Philadelphia, PA 19104-5127

Phone 215-615-6868 · Fax 215-615-3449

Mailing address

3400 Civic Center Blvd
3 West
Philadelphia, PA 19104-5127

Phone 215-615-6868 · Fax 215-615-3449

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