Healthcare Provider Details

I. General information

NPI: 1023088614
Provider Name (Legal Business Name): FAYE MARIE PYLES BSN,CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 FIRST COLONIAL ROAD; SUITE 412 ATLANTIC PEDIATRIC SPECIALIST
VIRGINIA BEACH VA
23454
US

IV. Provider business mailing address

1080 FIRST COLONIAL ROAD; SUITE 412 ATLANTIC PEDIATRIC SPECIALIST
VA BEACH VA
23454-1137
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-6500
  • Fax: 757-481-1197
Mailing address:
  • Phone: 757-395-6500
  • Fax: 757-481-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number0001055795
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number0024055795
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: