MINNIE DOUGHERTY PA
NPI 1407916190
Physician Assistant - Medical in Ft Wainwright, AK

Q: What is Minnie Dougherty's NPI number?

The NPI number for Minnie Dougherty is 1407916190. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Minnie Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Minnie Dougherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2006

COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, 1060 GAFFNEY RD STE 7440, FT WAINWRIGHT, AK 99703(907) 353-5418(907) 353-4847 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Minnie Dougherty Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNIE DOUGHERTY PA (NPI 1407916190) is an individual medical provider in Ft Wainwright, Alaska and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1407916190

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMINNIE DOUGHERTYCredential: PA

Location AddressCOMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, 1060 GAFFNEY RD STE 7440Ft Wainwright, AK 99703-7440

Mailing AddressCommander Usa Meddac Ak Mcuc Mmd Attn Credentials, 1060 Gaffney Rd Ste 7440Ft Wainwright, AK 99703-7440 · (907) 353-5418 · Fax (907) 353-4847

Phone(907) 353-5418

Fax(907) 353-4847

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407916190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, Ft Wainwright, AK 99703

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE W LINDHOLM

Audiologist

COMMANDER USA MEDDAC AK MCUC MMD ATTN CREDENTIALS, 1060 GAFFNEY RD STE 7440
FT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 353-5418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnie Dougherty's NPI number?

The NPI number for Minnie Dougherty is 1407916190. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Minnie Dougherty located?

Minnie Dougherty practices at Commander Usa Meddac Ak Mcuc Mmd Attn Credentials 1060 Gaffney Rd Ste 7440, Ft Wainwright, AK 99703. The listed phone number is (907) 353-5418.

What is Minnie Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Minnie Dougherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.