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Contact Information

ANDREA DOHERTY
262 W MAIN ST
AMELIA, OH45102-1309
 Phone: 513-718-2260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA DOHERTY · (Female)

NPI Number 1699324228
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2019
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 0030124
  • OH License # APRN.CNP.0030124
  • OH License # RN.412791
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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