NPI 1609108265
Diane Elaine Doherty
Practice location
- Address
- 9098 W Ridge Line Ln, Coeur D Alene, ID 83814-9103
- Phone
- (208) 651-2186
- Fax
- (208) 769-7960
- Mailing address
- 9098 W. Ridge Line, Coeur D Alene, ID 83814-9103
Registered specialties (2)
Licensed Vocational Nurse
Primary
Nurse's Aide
Registry record
- NPI
- 1609108265
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Feb 2010
- Record last updated
- 8 Feb 2010
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.