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NPI Code Detail

MEDICARE: KYRIE PRINGLE

MEDICARE: KYRIE PRINGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF01260305NC

General Provider Information

NPI Number : 1356208326
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRIE PRINGLE
Provider Business Mailing Address
First Line : 5024 SINCLAIR DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-6221
Country : US
Telephone Number : 919-215-9064
Fax Number :
Provider Business Practice Location Address
First Line : 381 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2932
Country : US
Telephone Number : 252-430-0666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ KYRIE PRINGLE ” Practice Location

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