Provider Demographics
NPI:1780183533
Name:PYLE-DUKE, CAROLYN ANN (RN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANN
Last Name:PYLE-DUKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30431 PORTOBAGO TRL
Mailing Address - Street 2:
Mailing Address - City:PORT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22535-2140
Mailing Address - Country:US
Mailing Address - Phone:703-599-6570
Mailing Address - Fax:
Practice Address - Street 1:2300 FALL HILL AVE STE 401
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3343
Practice Address - Country:US
Practice Address - Phone:540-741-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001166866163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse