Basic Information
| Provider Information | |||||||||
| NPI: | 1588236319 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOYLE | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 72 N JEFFERSON RD | ||||||||
| Address2: | |||||||||
| City: | WHIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079811030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2012591505 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 999 MCBRIDE AVE STE B204 | ||||||||
| Address2: | |||||||||
| City: | WOODLAND PARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074242563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732565667 | ||||||||
| FaxNumber: | 9732567758 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2021 | ||||||||
| LastUpdateDate: | 02/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 26NJ01169300 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.