Individual
REBECCA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 788-0901
Mailing address
1912 BELFORD DR, FREDERICK, MD 21702-3282
(240) 491-1405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217818
MD
Other
Enumeration date
06/21/2023
Last updated
07/11/2024
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