Individual provider · Type 1 NPI
Angela Catherine Dougherty, NP
Family Nurse Practitioner · Rochester, NY
NPI number
1548980915
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 704
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 350769 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 350769 (NY) |
| Registered Nurse | 163W00000X | 752121 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548980915
Angela Catherine Dougherty, NP's National Provider Identifier is 1548980915, issued on Aug 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Oct 10, 2023.