NPI 1952039919 · live from the CMS NPI Registry
Audrey Ann Dougherty, APRN
Nurse Practitioner, Family in Russell, KS. National Provider Identifier 1952039919, active.
NPI record
| NPI | 1952039919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 200 S Main St, Russell, KS 67665 |
| Practice phone | 785-483-3333 |
| Mailing address | 1306 Lawrence Dr, Hays, KS 67601 |
| Enumerated | August 9, 2022 |
| Last updated | August 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 5383369051 (KS) |
| Registered Nurse, General Practice | 163WG0000X | 144116 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.