Healthcare Provider Details

I. General information

NPI: 1154015154
Provider Name (Legal Business Name): ABIGAIL MICHELE EARLIWINE A.U.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14057 US HIGHWAY 17 STE 200
HAMPSTEAD NC
28443-3793
US

IV. Provider business mailing address

14057 US HIGHWAY 17 STE 200
HAMPSTEAD NC
28443-3793
US

V. Phone/Fax

Practice location:
  • Phone: 910-956-8700
  • Fax:
Mailing address:
  • Phone: 910-956-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number30002432
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number30002432
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: