Individual
ANDREA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 W MAIN ST, AMELIA, OH 45102-1309
(513) 718-2260
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0030124
OH
363LF0000X
Family Nurse Practitioner
Primary
0030124
OH
363LS0200X
School Nurse Practitioner
RN.412791
OH
Other
Enumeration date
09/06/2019
Last updated
12/13/2021
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