Provider Demographics
NPI:1972114429
Name:PYE, ANGEL FLORINE
Entity Type:Individual
Prefix:
First Name:ANGEL FLORINE
Middle Name:
Last Name:PYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23523-2332
Mailing Address - Country:US
Mailing Address - Phone:757-201-1508
Mailing Address - Fax:
Practice Address - Street 1:1712 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23523-2332
Practice Address - Country:US
Practice Address - Phone:757-383-3417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion