Provider Demographics
NPI:1497869069
Name:DOYLE, DONNA M (CNM, IBCLC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:DOYLE
Suffix:
Gender:F
Credentials:CNM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2727
Mailing Address - Country:US
Mailing Address - Phone:978-741-7812
Mailing Address - Fax:978-744-9594
Practice Address - Street 1:84 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2727
Practice Address - Country:US
Practice Address - Phone:978-745-3050
Practice Address - Fax:978-744-9594
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA118961163W00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse