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Shannon Marie Dougherty, NP
Family Nurse Practitioner in Buffalo, New York
NPI 1376233189

Shannon Marie Dougherty is a Family Nurse Practitioner based in Buffalo, NY and is specialized in Family. Shannon Marie Dougherty practices in Buffalo, NY and has the professional credentials of NP. The NPI Number for Shannon Marie Dougherty is 1376233189 and holds a License No. 351180 (New York).

The current practice location address for Shannon Marie Dougherty is 31 Tamarack St Apt 106C, Buffalo, NY and can be reached out via phone at 716-860-4834.

Location: 31 Tamarack St Apt 106C, Buffalo, NY, 14220-1780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376233189
Provider Name
Shannon Marie Dougherty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
31 Tamarack St Apt 106C, Buffalo, NY, 14220-1780
Phone Number
716-860-4834
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31 Tamarack St Apt 106C
City
Buffalo
State
New York
Zip
14220-1780
Phone Number
716-860-4834
Fax Number
person
Provider Business Mailing Address Details
Address
31 Tamarack St Apt 106C
City
Buffalo
State
New York
Zip
14220-1780
Phone Number
716-860-4834
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
351180 (New York)
Definition
Definition to come...
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