Provider Demographics
NPI:1275311920
Name:DOYLE-EPP, SYDNEY LAYNE (CNM)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LAYNE
Last Name:DOYLE-EPP
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LAYNE
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1411 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-2427
Mailing Address - Country:US
Mailing Address - Phone:308-636-6016
Mailing Address - Fax:
Practice Address - Street 1:613 N 36TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-3815
Practice Address - Country:US
Practice Address - Phone:414-291-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI150034-32367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife