Provider Demographics
NPI:1821805730
Name:DOOHER, KRISTEN DOOHER (RN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DOOHER
Last Name:DOOHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 HIGH ST UNIT 243
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2545
Mailing Address - Country:US
Mailing Address - Phone:781-613-5005
Mailing Address - Fax:
Practice Address - Street 1:697 HIGH ST UNIT 243
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2545
Practice Address - Country:US
Practice Address - Phone:781-613-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN262389163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy