Individual
MS. MICHELLE ANNE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5498
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215266
MA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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