National Provider Identifier
Olivia Leah Dougherty, L.P.N
Olivia Leah Dougherty, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Angola, NY and a listed phone number of (716) 771-9291.
Profile Overview
- NPI
- 1790174514
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 16, 2015
- Last Updated
- January 16, 2015
Practice Location
- 662 Beach RD
- Angola, NY 14006-9784
Phone: (716) 771-9291
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1790174514
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Olivia
- Middle Name
- Leah
- Name Prefix
- Miss
- Credential
- L.P.N
- Provider Other Last Name
- Dougherty
- Provider Other First Name
- Olivia
- Provider Other Middle Name
- Leah
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- L.P.N
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 662 Beach RD
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9784
- Mailing Country
- US
- Mailing Phone
- (716) 771-9291
- Practice Street Address
- 662 Beach RD
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006-9784
- Practice Country
- US
- Practice Phone
- (716) 771-9291
- Enumeration Date
- January 16, 2015
- Last Updated
- January 16, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)