Provider Demographics
NPI:1275375628
Name:DOYLE, LINDSEY ELAINE (RN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELAINE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 QUARRY VISTA DR APT 114
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53719-9102
Mailing Address - Country:US
Mailing Address - Phone:608-449-7111
Mailing Address - Fax:
Practice Address - Street 1:7671 CTH N
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-9616
Practice Address - Country:US
Practice Address - Phone:563-543-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI186778163W00000X
WI186778-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse