Individual
SAMANTHA DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN LICENSE
Contact information
Practice address
1193 DRIVER PL, ALLENTOWN, PA 18106-9656
(484) 375-9714
Mailing address
1193 DRIVER PL, ALLENTOWN, PA 18106-9656
(484) 375-9714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN311448
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN311448
PA NURSING LICENSE
PA
Enumeration date
01/09/2020
Last updated
01/09/2020
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