Provider Demographics
NPI:1023088614
Name:PYLES, FAYE MARIE (BSN,CPNP)
Entity type:Individual
Prefix:MS
First Name:FAYE
Middle Name:MARIE
Last Name:PYLES
Suffix:
Gender:F
Credentials:BSN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 FIRST COLONIAL ROAD; SUITE 412
Mailing Address - Street 2:ATLANTIC PEDIATRIC SPECIALIST
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1137
Mailing Address - Country:US
Mailing Address - Phone:757-395-6500
Mailing Address - Fax:757-481-1197
Practice Address - Street 1:1080 FIRST COLONIAL ROAD; SUITE 412
Practice Address - Street 2:ATLANTIC PEDIATRIC SPECIALIST
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-395-6500
Practice Address - Fax:757-481-1197
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001055795163WP0200X
VA0024055795163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001055795OtherSTATE LICENSE
VA0024055795OtherNURSE PRACTITIONER LIC