Individual
GAYLE DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Mailing address
512 SAGAMORE PKWY W, SUITE 400, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001675A
IN
363LF0000X
Family Nurse Practitioner
71001675
IN
363LF0000X
Family Nurse Practitioner
Primary
71001675A
IN
Other
Enumeration date
01/14/2008
Last updated
01/26/2019
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