Individual
LAURA BETH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7520
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00574
RI
363L00000X
Nurse Practitioner
RN2270314
MA
Other
Enumeration date
10/18/2012
Last updated
09/12/2024
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