| Doctor Name: | MS. VANESSA ELIZABETH MCDOUGALL |
| NPI Number: | 1194030205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP101039 |
| Business Practice Address: | 4 Main Street Van Buren, ME - 047851009 |
| Business Phone Number: | 2074982350 |
| Business Fax Number: | 2074982352 |
| Mailing Address: | Po Box 40, CARIBOU |
| State: | ME |
| Postal Code: | 047362511 |
| Phone Number: | 2074982350 |
| Fax Number: | 2074982352 |
| NPI Enumeration Date: | 08/12/2010 |
| NPI Last Update Date: | 08/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP101039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |