MICHELE M DOYLE NPI 1902344492

NPI Information

  • NPI: 1902344492
  • Provider Name: MICHELE M DOYLE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 33D2129491
  • Address: 32 CANAL ST
    PORT JERVIS, NY
    ZIP 12771
  • Phone: (845) 856-6671

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NPI Details

MICHELE M DOYLE is a family nurse practitioner in Port Jervis, NY. MICHELE M DOYLE NPI is 1902344492. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 CANAL ST
PORT JERVIS, NY
ZIP 12771-638
Phone: (845) 856-6671
Fax: (845) 858-9903

The provider's authorized official is Michele M Doyle .
The authorized official title is Owner and has the following contact phone number (845) 856-6671.

The CLIA number assigned to this NPI record is 33D2129491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 3/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF337610NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103499112MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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