Healthcare Provider Details

I. General information

NPI: 1265252266
Provider Name (Legal Business Name): EMILY DONOVAN DOYLE CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY DONOVAN WESTERN CNM, WHNP-BC

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 GALLERY PARK LN
WILMINGTON NC
28412-1142
US

IV. Provider business mailing address

1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-1031
  • Fax: 910-251-8896
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number236484
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1020
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: