SHAYNE KING DOUGHERTY

HAVERTOWN, PA
NPI1154358752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP007565)
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
Mrs. SHAYNE KING DOUGHERTY CRNP
32 GREENVIEW LN
HAVERTOWN, PA 19083-4313
Phone number: 610-924-9763
Mailing Address
Mrs. SHAYNE KING DOUGHERTY CRNP
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104-4399
Phone number: 267-426-5112
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