Diane Elaine Doherty

NPI 1609108265 - Nurse's Aide - 376K00000X

NPI Details
NPI 1609108265
Gender Female
Enumeration Date 02/08/2010
Last Updated 02/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9098 W RIDGE LINE LN
COEUR D ALENE ID, 83814-9103, US
Phone (208) 651-2186
Fax (208) 769-7960
Business Location
9098 W. RIDGE LINE
COEUR D ALENE ID, 83814-9103, US
Phone (208) 651-2186
Fax (208) 769-7960
Toxanomy
Taxonomy Code 376K00000X
License State
License Number
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According to our database, Diane Elaine Doherty NPI is 1609108265, taxonomy code is 376K00000X Diane Elaine Doherty physically located at 9098 W Ridge Line Ln, Coeur D Alene ID, 83814-9103. NPI Number Diane Elaine Doherty has the Individual type.

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1609108265 NPI number is provided on an as is basis without warranty of any kind. 1609108265 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Elaine Doherty are for informational purposes only.