Dougherty, Edith Ann
Dougherty, Edith Ann is an sole proprietor health care provider with primary practice located at 702 N Granite Ave , Granite Falls WA 98252-8774. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Dougherty, Edith Ann can be contacted via phone (360) 691-7791.Contact Information
Primary practice address
702 N Granite Ave
Granite Falls WA 98252-8774
Phone: (360) 691-7791
Fax: (360) 238-4416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 60840166 | Washington |
Profile Details
| NPI number | 1417423443 |
|---|---|
| LBN Legal business name | Dougherty, Edith Ann |
| Credentials | MSN, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 6 years ago |
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 | 1417423443 | NPPES |
| Washington | Other | 60840166 | REGISTERED NURSE LICENSE |
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