Individual
SHANNAN T DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
44 ALDEN ST, PLYMOUTH, MA 02360-4515
(339) 832-1064
Mailing address
44 ALDEN ST, PLYMOUTH, MA 02360-4515
(339) 832-1064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2270011
MA
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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