Individual provider · Type 1 NPI

Beth Dougherty, AGNP-C

Nurse Practitioner · St. Louis Park, MN

NPI number 1558757641 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-5000

Call (952) 993-3230 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 7300 France Ave S Ste 400, Edina, MN 55435-4544 · (952) 374-5995

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP3840 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

177 other providers at this address

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About NPI 1558757641

Beth Dougherty, AGNP-C's National Provider Identifier is 1558757641, issued on Apr 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 7, 2021.