Individual
COLLEEN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7800 JANDARACRES DR, CINCINNATI, OH 45248-2032
(513) 515-1751
(812) 432-5579
Mailing address
9920 CEDAR VIEW LN, AURORA, IN 47001-9466
(513) 515-1751
(812) 432-5579
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-05704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2501635
—
OH
Enumeration date
04/26/2007
Last updated
07/09/2007
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