Individual provider · Type 1 NPI

Chris Doherty

Licensed Practical Nurse · Campbell Hall, NY

NPI number 1255736096 Active

Practice location

102 Neelytown Rd
Campbell Hall, NY 10916-2807

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X276788 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

About NPI 1255736096

Chris Doherty's National Provider Identifier is 1255736096, issued on Oct 22, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Campbell Hall, NY. The record was last updated on Oct 22, 2014.