Individual provider · Type 1 NPI

Kirsten Dougherty, CPNP-PC

Pediatric Nurse Practitioner · Minnetonka, MN

NPI number 1144718933 Active

Practice location

14001 Ridgedale Dr Ste 100
Minnetonka, MN 55305-1781

Fax (952) 473-7908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5269 (MN)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1144718933

Kirsten Dougherty, CPNP-PC's National Provider Identifier is 1144718933, issued on Apr 26, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minnetonka, MN. The record was last updated on Apr 26, 2018.