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NPI Code Detail

MEDICARE: MRS. BONITA KEAVENY DOYLE CRNA

MEDICARE: MRS. BONITA KEAVENY DOYLE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist0024166420VA

General Provider Information

NPI Number : 1134140916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BONITA KEAVENY DOYLE CRNA
Provider Business Mailing Address
First Line : 1265 TANAGER TRL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-4957
Country : US
Telephone Number : 757-513-4947
Fax Number :
Provider Business Practice Location Address
First Line : 1060 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3002
Country : US
Telephone Number : 757-395-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 12/11/2025

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