Nolan Michael Docherty, PA-C
Physician Assistant, Medical in Scranton, PA. Individual provider (NPI-1).
NPI number1982183034
StatusActive
Last updated in NPPESNov 28, 2025
Details
- NPI
- 1982183034
- Entity type
- Individual (NPI-1)
- Name
- Nolan Michael Docherty
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2018
- Certification date
- Nov 28, 2025
- Last updated
- Nov 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA059993 | PA | Yes |
Practice location
300 Lackawanna Ave Ste 200Scranton, PA 18503-2001
Phone 570-342-7864
Mailing address
1800 Mulberry StScranton, PA 18510-2369
Phone 570-703-8128
Other practice locations
1800 Mulberry St
Scranton, PA 18510-2369
Scranton, PA 18510-2369
Phone 570-703-8000
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