Healthcare Provider Details

I. General information

NPI: 1972898708
Provider Name (Legal Business Name): NICOLE M DOYLE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 N DOBSON RD STE D79
CHANDLER AZ
85224-4234
US

IV. Provider business mailing address

595 N DOBSON RD STE D79
CHANDLER AZ
85224-4234
US

V. Phone/Fax

Practice location:
  • Phone: 480-619-6150
  • Fax:
Mailing address:
  • Phone: 480-619-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: