Individual provider · Type 1 NPI

Stephanie Doherty, AGNP

Adult Health Nurse Practitioner · Boston, MA

NPI number 1023420528 Active

Practice location

55 Fruit St, Blake 454
Boston, MA 02114-2621

Fax (617) 724-5997

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2273518 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1023420528

Stephanie Doherty, AGNP's National Provider Identifier is 1023420528, issued on Jun 2, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jun 2, 2014.