Provider Demographics
NPI:1083701346
Name:DORAN, DOROTHY T (ARNP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:T
Last Name:DORAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PROSPECT ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3922
Mailing Address - Country:US
Mailing Address - Phone:603-886-7900
Mailing Address - Fax:603-594-0654
Practice Address - Street 1:10 PROSPECT ST
Practice Address - Street 2:SUITE 202 NASHUA ONCOLOGY AND HEMATOLOGY
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3922
Practice Address - Country:US
Practice Address - Phone:603-886-7900
Practice Address - Fax:603-594-0654
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH028434-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30342199Medicaid
NH30342199Medicaid
NHP61674Medicare UPIN