Provider Demographics
NPI:1952153876
Name:ALPHA ONE ENDOCRINE PLLC
Entity Type:Organization
Organization Name:ALPHA ONE ENDOCRINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:910-309-5451
Mailing Address - Street 1:804 STAMPER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4163
Mailing Address - Country:US
Mailing Address - Phone:910-309-5451
Mailing Address - Fax:910-835-2371
Practice Address - Street 1:804 STAMPER RD STE 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4163
Practice Address - Country:US
Practice Address - Phone:910-309-5451
Practice Address - Fax:910-835-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty