Dougherty, Anne
Dougherty, Anne is an individual health care provider with primary practice located at 472 Route 47 , Sugar Grove IL 60554-8107. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dougherty, Anne can be contacted via phone (630) 466-6000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209023170 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 333962 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209023170 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R171561 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP006072B | Pennsylvania |
Profile Details
NPI number | 1558384487 |
---|---|
LBN Legal business name | Dougherty, Anne |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Mar 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558384487 | NPPES |
Pennsylvania | Other | 2512931 | HIGHMARK BLUE SHIELD-WMG |
Pennsylvania | Other | 1589494 | HIGHMARK BLUE SHIELD-WMG |
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