DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ADDIE ELIZABETH CARLYLE

MEDICARE:   ADDIE ELIZABETH CARLYLE
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 Practitioner2023026241MO

General Provider Information

NPI Number : 1336997691
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDIE ELIZABETH CARLYLE
Provider Business Mailing Address
First Line : 7972 STATE HIGHWAY 77
Second Line :
City : ORAN
State : MO
Zip : 63771-9184
Country : US
Telephone Number : 573-986-8951
Fax Number :
Provider Business Practice Location Address
First Line : 3095 LEXINGTON AVE STE 200
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-2629
Country : US
Telephone Number : 573-987-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/17/2024

Similar Medicare Providers

1376724351 — MRS. JILL ELIZABETH BARBER RD LD
Practice Location Address:
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO
63701-2629
Practice Phone: 573-803-4060
Practice Fax:
1215536818 — HEARTLAND WEIGHT LOSS CLINIC, LLC
Practice Location Address:
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO
63701-2629
Practice Phone: 573-803-2287
Practice Fax:
1285371039 — MIRANDA UNTERREINER RD LD
Practice Location Address:
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO
63701-2629
Practice Phone: 573-803-2287
Practice Fax:
1316639263 — MRS. SIERRA MASTERS FNP
Practice Location Address:
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO
63701-2629
Practice Phone: 573-803-2287
Practice Fax:
1801644984 — CARRIE DEA WAMBLE RD LD
Practice Location Address:
3095 LEXINGTON AVE STE 200
CAPE GIRARDEAU, MO
63701-2629
Practice Phone: 573-987-5355
Practice Fax:
1528062270 — FI-CAPE CORAL, LLC
Practice Location Address:
2629 DEL PRADO BLVD S
CAPE CORAL, FL
33904-5769
Practice Phone: 239-574-4434
Practice Fax: 239-574-6968

Directions to “ ADDIE ELIZABETH CARLYLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.