SUSAN EMILY DAVIS DOUGHTY WHNP C NPI 1184652968

NPI Information

NPI: 1184652968
Provider Name: SUSAN EMILY DAVIS DOUGHTY, WHNP C
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
260 WESTERN AVENUE
NEW ENGLAND WOMEN CENTER
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 761-4700
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Susan Emily Davis Doughty, WHNP C is a women's health nurse practitioner in South Portland, ME. Susan Emily Davis Doughty, WHNP C NPI is 1184652968. 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:

260 WESTERN AVENUE
NEW ENGLAND WOMEN CENTER
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 761-4700
Fax: (217) 761-4744

The enumeration date for this NPI number is 6/29/2006 and was last updated on 7/8/2007.

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	363LW0102X	Nurse Practitioner	Women's Health	R027192	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NG0088	MEDICARE ID-TYPE UNSPECIFIED
2	S32223	MEDICARE UPIN

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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