Healthcare Provider Details

I. General information

NPI: 1881162212
Provider Name (Legal Business Name): ELISE DOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2018
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 RIVERVIEW ST
FRANKLIN NC
28734-2612
US

IV. Provider business mailing address

7 BRAD ST
ASHEVILLE NC
28803-1607
US

V. Phone/Fax

Practice location:
  • Phone: 828-524-8411
  • Fax:
Mailing address:
  • Phone: 828-713-0419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number126180
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number278133
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: