Diane Elaine Doherty
NPI #1609108265 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1609108265
- Entity Type
- Individual
- Name
- Diane Elaine Doherty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Feb 8, 2010
- Last Updated
- Feb 8, 2010
Practice Location
- Address
- 9098 W RIDGE LINE LN
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-9103
- Phone
- (208) 651-2186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
| Nurse's Aide |
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