Individual
MRS. BARBARA R DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E IDAHO ST, SUITE 200, BOISE, ID 83712-6267
(208) 381-7310
(208) 381-7311
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP575A
ID
Other
Enumeration date
01/29/2007
Last updated
07/31/2013
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