| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EMMA LOUISE DOUGHERTY | 1760075402 | 2021-02-13 |
Emma Louise Dougherty is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760075402. Registration indicates Emma Louise Dougherty is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Emma Louise Dougherty |
| Practice Office Address | 37 W FREDERICK ST MILLERSVILLE, PA US |
| Practice Office Telephone | 7178714636 |
| Mailing Address | PO BOX 1002 MILLERSVILLE, PA 175510302 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |