Organization
MIDWEST PRACTIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN DOHERTY NP (PRESIDENT)
(513) 515-1751
Entity
Organization
Contact information
Practice address
7800 JANDARACRES DR, CINCINNATI, OH 45248-2032
(513) 515-1751
Mailing address
9920 CEDAR VIEW LN, AURORA, IN 47001-9466
(513) 515-1751
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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