Provider Demographics
NPI:1104032598
Name:DOYLE, SHELAGH THOMPSON (ANP)
Entity Type:Individual
Prefix:MS
First Name:SHELAGH
Middle Name:THOMPSON
Last Name:DOYLE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W 94TH ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7053
Mailing Address - Country:US
Mailing Address - Phone:212-241-1307
Mailing Address - Fax:
Practice Address - Street 1:MOUNT SINAI MED CTR, BOX 1495
Practice Address - Street 2:1 GUSTAVE LEVY PL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-302597-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health