Diane Elaine Doherty, in Coeur D Alene, ID - Licensed Vocational Nurse

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.

Contact Information

	Diane Elaine Doherty,
	9098 W Ridge Line Ln, Coeur D Alene, ID 83814-9103
	(208) 651-2186
	(208) 769-7960

Provider's Profile

Full Name	Diane Elaine Doherty
Gender	Female
Speciality	Licensed Vocational Nurse
Location	9098 W Ridge Line Ln, Coeur D Alene, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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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Diane Elaine Doherty, - Licensed Vocational Nurse in Coeur D Alene, ID