Provider Demographics
NPI:1376822593
Name:DOIEL, NICOLE (MAT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:DOIEL
Suffix:
Gender:F
Credentials:MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15928 ROSE GLENN LN
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8920
Mailing Address - Country:US
Mailing Address - Phone:704-806-8270
Mailing Address - Fax:
Practice Address - Street 1:15928 ROSE GLENN LN
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-8920
Practice Address - Country:US
Practice Address - Phone:704-806-8270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator