Individual
GLORIA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
(505) 272-3541
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R43975
NM
363LA2200X
Adult Health Nurse Practitioner
CNP01033
NM
363LC0200X
Critical Care Medicine Nurse Practitioner
CNP01033
NM
Other
Enumeration date
06/15/2005
Last updated
02/13/2025
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