Individual
KELLY MARIA DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 RINGWOOD AVE, HASKELL, NJ 07420-1408
(201) 350-7225
Mailing address
33 LARCH AVE, DUMONT, NJ 07628-1222
(201) 674-5695
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14980400
NJ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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