NPI 1013429315

Hans Prince Doherty

Practitioner Licensed Practical Nurse Upper Marlboro, MD

Practice location

Address: 10203 Grandhaven Ave, Upper Marlboro, MD 20772-6656
Phone: (443) 240-7072

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 00000000000000000000 (MD)

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Registry record

NPI: 1013429315
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2017
Record last updated: 23 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.