Healthcare Provider Details

I. General information

NPI: 1982525259
Provider Name (Legal Business Name): KIRSTIE EARL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PAGE DR
PINEHURST NC
28374-8847
US

IV. Provider business mailing address

42211 LOOP RD
NORWOOD NC
28128-7771
US

V. Phone/Fax

Practice location:
  • Phone: 910-235-9090
  • Fax: 910-235-9093
Mailing address:
  • Phone: 980-581-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number84508
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: