person
Mrs. Shayne King Dougherty, CRNP
Pediatric Nurse Practitioner in Havertown, Pennsylvania
NPI 1154358752

Shayne King Dougherty is a Pediatric Nurse Practitioner based in Philadelphia, PA and is specialized in Pediatrics. Shayne King Dougherty practices in Havertown, PA and has the professional credentials of CRNP. The NPI Number for Shayne King Dougherty is 1154358752 and holds a License No. SP007565 (Pennsylvania).

The current practice location address for Shayne King Dougherty is 32 Greenview Ln, Havertown, PA and can be reached out via phone at 610-924-9763.

Location: 32 Greenview Ln, Havertown, PA, 19104-4399
person
Provider Profile Details
NPI Number
1154358752
Provider Name
Shayne King Dougherty
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
32 Greenview Ln, Havertown, PA, 19104-4399
Phone Number
610-924-9763
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
32 Greenview Ln
City
State
Zip
19083-4313
Phone Number
610-924-9763
Fax Number
person
Provider Business Mailing Address Details
Address
32 Greenview Ln
City
State
Zip
19083-4313
Phone Number
610-924-9763
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP007565 (Pennsylvania)
Definition
Definition to come...
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