Individual provider · Type 1 NPI

Alexis Lydia Doherty, AGACNP-BC

Nurse Practitioner · Leesburg, VA

NPI number 1376161885 Active

Practice location

44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178

Fax (703) 858-8170

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 44045 Riverside Pkwy, Leesburg, VA 20176-5101 · (703) 858-6000
  • 44045 Riverside Pkwy Ste 100, Leesburg, VA 20176-5101 · (703) 858-8878

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024179568 (VA)
Acute Care Nurse Practitioner 363LA2100X0024179568 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376161885

Alexis Lydia Doherty, AGACNP-BC's National Provider Identifier is 1376161885, issued on Jul 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesburg, VA. The record was last updated on Jul 13, 2022.