Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 17715 | NV |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 17715 | NV |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 56701 | GA |
N | 207VX0000X | Obstetrician | 56701 | GA |
NPI | 1285661777 |
---|---|
Provider Name | Nora Doyle |
First Address | Las Vegas, NV 89102-2352 |
Second Address | Las Vegas, NV 89102-2352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 28/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I29066001 | (02) | GA |