person
Debra S Dougherty, ARNP
Nurse Practitioner in Bradenton, Florida
NPI 1730104837

Debra S Dougherty is a Nurse Practitioner based in Fort Myers, FL. Debra S Dougherty practices in Bradenton, FL and has the professional credentials of ARNP. The NPI Number for Debra S Dougherty is 1730104837 and holds a License No. 71001790 (Florida).

The current practice location address for Debra S Dougherty is 200 3Rd Ave W, Bradenton, FL and can be reached out via phone at 941-792-0340 and via fax at 941-794-2251. You can also correspond with Debra S Dougherty through the mailing address at 2234 COLONIAL BLVD, FORT MYERS, FL - 33907-1412 (mailing address contact number: 239-931-7342).

Location: 200 3Rd Ave W, Bradenton, FL, 33907-1412
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Provider Profile Details
NPI Number
1730104837
Provider Name
Debra S Dougherty
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
200 3Rd Ave W, Bradenton, FL, 33907-1412
Phone Number
941-792-0340
Fax Number
941-794-2251
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2447974000 01 KY PASSPORT ADVANTAGE
7663234 01 AETNA
78001427 05 KY
P01420776 01 FL RR MEDICARE
070134 01 IN SIHO
000000381896 01 IN ANTHEM BCBS
200404560 05 IN
50006753 01 KY PASSPORT KY MEDICAID
Y0C29 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
200 3Rd Ave W
City
State
Zip
34205-8626
Phone Number
941-792-0340
Fax Number
941-794-2251
person
Provider Business Mailing Address Details
Address
200 3Rd Ave W
City
State
Zip
34205-8626
Phone Number
941-792-0340
Fax Number
941-794-2251
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
2258P (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
71001790 (Indiana)
Definition
Definition to come...
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