Provider Demographics
NPI:1669721536
Name:BARRINGER, KARYN EARLE (PA-C (PHYSICIAN ASSI)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:EARLE
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:PA-C (PHYSICIAN ASSI
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:MARIE
Other - Last Name:EARLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C (PHYSICIAN ASSI
Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:3024 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1247
Practice Address - Country:US
Practice Address - Phone:919-350-5318
Practice Address - Fax:919-350-7093
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5190363AM0700X
NC0010-04628363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1669721536Medicaid