Individual
VIRGINIA BOWERS DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 942-2064
(978) 942-2068
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 942-2064
(978) 942-2068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN285090
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN285090
MA
Other
Enumeration date
12/07/2010
Last updated
10/23/2020
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