Barbara R Doherty, NP
Nurse Practitioner in Boise, ID. Individual provider (NPI-1).
NPI number1467508697
StatusActive
Last updated in NPPESJul 31, 2013
Details
- NPI
- 1467508697
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Barbara R Doherty
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP575A | ID | Yes |
Practice location
100 E Idaho StSuite 200
Boise, ID 83712-6267
Phone 208-381-7310 · Fax 208-381-7311
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
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