IndividualActive
Addie Carlyle
NPI 1336997691 · Family Nurse Practitioner · Cape Girardeau, MO
Provider details
- NPI number
- 1336997691
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2023026241 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3095 Lexington Ave Ste 200
Cape Girardeau, MO 63701-2629
Phone: (573) 987-5355
Approximate (ZIP-level) locationGet directions
Mailing address
7972 State Highway 77
Oran, MO 63771-9184
Registry dates
- Enumerated
- 2024-05-10
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.