Danielle M Dougherty, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Beverly, WV
NPI 1649859638 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1649859638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 108622 (WV)
- Practice address
- 123 Poplar Rd
Beverly, WV 26253-1106 - Phone
- (304) 516-8170
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108622 | WV | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 108622 | WV | Yes |
Addresses
Primary practice location
123 Poplar Rd
Beverly, WV 26253-1106
Mailing address
123 Poplar Rd
Beverly, WV 26253-1106
Phone (304) 516-8170
Other providers in Beverly, WV
- Heather Cutright
- Michael Cutright
- Janice Lea Daniels
- Megan Daniels
- Megan Dewitt
- Aaron Eagle
- Jimmy Lynn Eagle
- Kimberly Dawn Eagle
- Zachery Lee Eagle
- Christina Elbon
All providers in Beverly, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.