Healthcare Provider Details

I. General information

NPI: 1992502728
Provider Name (Legal Business Name): STACEY ANN DOYLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 MARMION AVE
YOUNGSTOWN OH
44507-1557
US

IV. Provider business mailing address

7020 SOUTHERN BLVD
BOARDMAN OH
44512-4636
US

V. Phone/Fax

Practice location:
  • Phone: 330-398-3025
  • Fax:
Mailing address:
  • Phone: 330-398-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: