Crysil Dougherty, RN, BSN, PHN
Registered Nurse in Mendota Heights, MN. Individual provider (NPI-1).
NPI number1962058115
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1962058115
- Entity type
- Individual (NPI-1)
- Name
- Crysil Dougherty
- Credential
- RN, BSN, PHN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Last updated
- Aug 14, 2019
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 |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 198393-5 | MN | Yes |
Practice location
2060 Centre Pointe Blvd Ste 3Mendota Heights, MN 55120-1271
Phone 612-499-2260
Mailing address
2060 Centre Pointe Blvd Ste 3Mendota Heights, MN 55120-1271
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.
Other Registered Nurse providers in Mendota Heights, MN
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All 5 Registered Nurse providers in Mendota Heights · All 629 providers in Mendota Heights
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