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Individual
TARA ANN DOHERTY
Active
Individual
TARA ANN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,RN,FNP,PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
233904
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
233904
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
02/25/2026
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