Individual
MRS. STEPHANIE A DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6 TSIENNETO RD STE 300, DERRY, NH 03038-1584
(603) 216-0400
(603) 216-3800
Mailing address
6 TSIENNETO RD STE 300, DERRY, NH 03038-1584
(603) 216-0400
(603) 216-3800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2313731
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
08494521
NH
363LG0600X
Gerontology Nurse Practitioner
RN2313731
MA
Other
Enumeration date
06/21/2021
Last updated
07/16/2024
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