Individual
ALEXIS LYDIA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
44055 RIVERSIDE PKWY STE 238, LEESBURG, VA 20176-5178
(703) 858-8878
(703) 858-8170
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179568
VA
363LA2100X
Acute Care Nurse Practitioner
0024179568
VA
Other
Enumeration date
07/10/2020
Last updated
07/13/2022
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