Provider Demographics
NPI:1518359660
Name:DOYLE, MARY EILEEN (LPN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:EILEEN
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11268 COUNTY ROAD 550
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9789
Mailing Address - Country:US
Mailing Address - Phone:740-773-2165
Mailing Address - Fax:740-775-0515
Practice Address - Street 1:11268 COUNTY ROAD 550
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9789
Practice Address - Country:US
Practice Address - Phone:740-773-2165
Practice Address - Fax:740-775-0515
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN05894164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse