Individual provider · Type 1 NPI
Lindsay Bray Dougherty
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1669957155
Active
Practice location
3400 Civic Center Blvd, 3 West
Philadelphia, PA 19104-5127
Fax (215) 615-3449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | LP-0000277 (DE) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP021083 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1669957155
Lindsay Bray Dougherty's National Provider Identifier is 1669957155, issued on Oct 1, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 10, 2019.