COLLEEN MARIE DOUGHERTY

THE WRIGHT CENTER MEDICAL GROUP

Dr COLLEEN MARIE DOUGHERTY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

THE WRIGHT CENTER MEDICAL GROUP

5 S WASHINGTON AVE
JERMYN
PA
184331121

Tel: 5702300019

COLLEEN MARIE DOUGHERTY Information

Npi 1609392117
Pac Id 9739447459
Professional Enrollment Id I20171229000038
Last Name DOUGHERTY
First Name COLLEEN
Middle Name MARIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE WRIGHT CENTER MEDICAL GROUP
Group Practice Pac Id 6305841230
Number Of Group Practice Members 40
Line 1 Street Address 5 S WASHINGTON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JERMYN
State PA
Zip Code 184331121
Phone Number 5702300019
Hospital Affiliation Ccn 1 390119
Hospital Affiliation Lbn 1 MOSES TAYLOR HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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