Individual provider · Type 1 NPI

Crysil Dougherty, RN, BSN, PHN

Registered Nurse · Mendota Heights, MN

NPI number 1962058115 Active

Practice location

2060 Centre Pointe Blvd Ste 3
Mendota Heights, MN 55120-1271

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X198393-5 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1962058115

Crysil Dougherty, RN, BSN, PHN's National Provider Identifier is 1962058115, issued on Aug 14, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Mendota Heights, MN. The record was last updated on Aug 14, 2019.