Provider Demographics
NPI:1083462741
Name:GD HEALTH & WELLNESS MOBILE EXAM, LLC
Entity type:Organization
Organization Name:GD HEALTH & WELLNESS MOBILE EXAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENEAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP
Authorized Official - Phone:856-982-9502
Mailing Address - Street 1:614 E LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8027
Mailing Address - Country:US
Mailing Address - Phone:856-982-9502
Mailing Address - Fax:
Practice Address - Street 1:614 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8027
Practice Address - Country:US
Practice Address - Phone:856-982-9502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty