Individual
CHARISA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3835 SPENARD RD, ANCHORAGE, AK 99517-2678
(907) 274-9355
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
238664
AK
363LF0000X
Family Nurse Practitioner
Primary
238664
AK
Other
Enumeration date
07/17/2025
Last updated
08/27/2025
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