MEDICARE: NICOLE C DOYLE APRN

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
1	363L00000X	Nurse Practitioner	838670	NV
2	363L00000X	Nurse Practitioner	11038085	FL

General Provider Information

NPI Number	:	1437958923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE C DOYLE APRN

Provider Business Mailing Address
First Line	:	9828 PEDDLERS WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-1826
Country	:	US
Telephone Number	:	407-779-5047
Fax Number	:	407-779-5047

Provider Business Practice Location Address
First Line	:	9484 W FLAMINGO RD STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-5744
Country	:	US
Telephone Number	:	407-779-5047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	10/28/2025

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Directions to “ NICOLE C DOYLE APRN” Practice Location

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