ELIZABETH GRACE DOELLER EMT-B NPI 1588318836

NPI Information

NPI: 1588318836
Provider Name: ELIZABETH GRACE DOELLER, EMT-B
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Individual
Address:
6336 WILLINGHAM DR
ROANOKE, VA
ZIP 24018
Phone: (571) 232-8463
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Elizabeth Grace Doeller, EMT-B is an emergency medical technician basic in Roanoke, VA. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Elizabeth Grace Doeller, EMT-B NPI is 1588318836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6336 WILLINGHAM DR
ROANOKE, VA
ZIP 24018
Phone: (571) 232-8463

The enumeration date for this NPI number is 2/7/2022 and was last updated on 2/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	146N00000X	Emergency Medical Technician, Basic		B202000357	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B202000367	OTHER	VIRGINIA	EMT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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