AMANDA DOYLE NPI 1396120754

NPI Information

NPI: 1396120754
Provider Name: AMANDA DOYLE
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

PECOS Registration: Yes

Address:
304 RANDALL RD
GENEVA, IL
ZIP 60134
Phone: (630) 232-0610
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Amanda Doyle is a family health clinical nurse specialist in Geneva, IL. Amanda Doyle NPI is 1396120754. 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:

304 RANDALL RD
GENEVA, IL
ZIP 60134-200
Phone: (630) 232-0610
Fax: (630) 352-5499

The NPI 1396120754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 12/6/2016.

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	364SF0001X	Clinical Nurse Specialist	Family Health	041430219	ILLINOIS	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	206147	OTHER	ILLINOIS	MEDICARE PTAN GROUP
2	$$$$$$$$$001	OTHER	ILLINOIS	MEDICAID
3	F400235480	OTHER	ILLINOIS	MEDICARE PTAN INDIVIDUAL

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: 5/5/2024

NPI Synchronization or Removal

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