National Provider Identifier

Theresa D O'Doherty, NP

Theresa D O'Doherty, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 995-4450.

NPI 1043529597Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1043529597
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 01, 2010
Last Updated
October 28, 2019

Practice Location

  • 701 Seneca St Ste 646C
  • Buffalo, NY 14210-1351

Phone: (716) 995-4450

Mailing Address

  • 26 Queen Street
  • Worcester, CT 01610-2473

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1043529597
Entity Type
Individual
Last Name
O'Doherty
First Name
Theresa
Middle Name
D
Credential
NP
Mailing Street Address
26 Queen Street
Mailing City
Worcester
Mailing State
CT
Mailing ZIP Code
01610-2473
Mailing Country
US
Mailing Phone
(508) 860-7706
Mailing Fax
(508) 796-7014
Practice Street Address
701 Seneca St Ste 646C
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-1351
Practice Country
US
Practice Phone
(716) 995-4450
Enumeration Date
October 01, 2010
Last Updated
October 28, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)