Individual
GLORIA JEAN DOHEARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
10701 W RESEARCH DR, MILWAUKEE, WI 53226-3452
(414) 321-0809
Mailing address
6725 W MONONA PL, WEST ALLIS, WI 53219
(414) 321-0809
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APNP2298033
WI
Other
Enumeration date
10/16/2006
Last updated
10/15/2015
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