Individual
BRIDGET HALAH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3945 E PARADISE FALLS DRIVE, SUITE 201, TUCSON, AZ 85712-6687
(520) 615-6200
(520) 615-6255
Mailing address
3945 E PARADISE FALLS DRIVE, SUITE 201, TUCSON, AZ 85712
(520) 615-6200
(520) 615-6255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN034256
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP1633
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930984
—
AZ
Enumeration date
11/09/2005
Last updated
10/29/2015
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