Provider Demographics
NPI:1013060607
Name:KYLE, SHEILA VAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:VAY
Last Name:KYLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-6254
Mailing Address - Country:US
Mailing Address - Phone:252-728-1791
Mailing Address - Fax:
Practice Address - Street 1:3820A BRIDGES ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2918
Practice Address - Country:US
Practice Address - Phone:252-728-8550
Practice Address - Fax:252-222-7739
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily