MRS. DIANNE BARBARA DOUGHERTY FNP NPI 1134697808

NPI Information

NPI: 1134697808
Provider Name: MRS. DIANNE BARBARA DOUGHERTY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
50 PENBROKE AVE
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 986-7674
Get Directions

MRS. Dianne Barbara Dougherty, FNP is a family nurse practitioner in Staten Island, NY. MRS. Dianne Barbara Dougherty, FNP NPI is 1134697808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 PENBROKE AVE
STATEN ISLAND, NY
ZIP 10301-061
Phone: (718) 986-7674

The enumeration date for this NPI number is 11/10/2018 and was last updated on 11/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2017026718	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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