Individual ProviderHannah Elizabeth DochertyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(818) 415-5773PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Elizabeth Docherty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1295564078Provider TypeIndividualFull NameDocherty, Hannah ElizabethCredentialNURSE PRACTITIONERGenderFemaleSole ProprietorNoEnumeration Date7/30/2024Last Updated7/30/2024Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(818) 415-5773FaxUnlisted FaxMailing LocationMailing Address909 Linda Vista Ave, Pasadena, CA 91103-2743Phone(818) 415-5773FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95031013California