NPI 1023683984

Ian Doherty, CRNA

Practitioner Certified Registered Nurse Anesthetist Manchester, NH

Practice location

Address: 1 Elliot Way STE 200, Manchester, NH 03103-3502
Phone: (603) 663-2315
Mailing address: Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN2304236 (MA)

Other Nurse Anesthetist, Certified Registered providers in New Hampshire →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 086161-23 (NH)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New Hampshire →

Registry record

NPI: 1023683984
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2021
Record last updated: 8 May 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.