Individual
ADDIE ELIZABETH CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 LEXINGTON AVE STE 200, CAPE GIRARDEAU, MO 63701-2629
(573) 987-5355
Mailing address
7972 STATE HIGHWAY 77, ORAN, MO 63771-9184
(573) 986-8951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023026241
MO
Other
Enumeration date
05/10/2024
Last updated
05/17/2024
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