Diane Elaine Doherty, is a
Licensed Vocational Nurse based in Coeur D Alene, Idaho. Diane Elaine Doherty is licensed to practice in California (license number VN 3801) and her current practice location is
9098 W Ridge Line Ln, Coeur D Alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 651-2186.
NPI number for Diane Elaine Doherty is 1609108265 and her current mailing address is 9098 W. Ridge Line, Coeur D Alene, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609108265.
Provider's Profile
| Full Name | Diane Elaine Doherty |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
|---|
| Location | 9098 W Ridge Line Ln, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609108265
- Provider Enumeration Date: 02/08/2010
- Last Update Date: 02/08/2010
Medical Identifiers
Medical identifiers for Diane Elaine Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609108265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | VN 3801 (California) | Primary |
| 376K00000X | Nurse's Aide | (Idaho) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Elaine Doherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane Elaine Doherty,
9098 W. Ridge Line,
Coeur D Alene, ID 83814-9103
Ph: (208) 651-2186 | Diane Elaine Doherty,
9098 W Ridge Line Ln,
Coeur D Alene, ID 83814-9103
Ph: (208) 651-2186 |
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