Individual provider · Type 1 NPI

Nolan Michael Docherty, PA-C

Medical Physician Assistant · Scranton, PA

NPI number 1982183034 Active

Practice location

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001

Mailing address

1800 Mulberry St
Scranton, PA 18510-2369

Other practice locations

  • 1800 Mulberry St, Scranton, PA 18510-2369 · (570) 703-8000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA059993 (PA)

Medical Physician Assistant: Definition to come...

26 other providers at this address

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About NPI 1982183034

Nolan Michael Docherty, PA-C's National Provider Identifier is 1982183034, issued on Aug 9, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Scranton, PA. The record was last updated on Nov 28, 2025.