Shirley M Pryor in Ilwaco - Nurse Practitioner
Shirley M Pryor - NPI 1083601264
Shirley M Pryor is a Nurse Practitioner in Ilwaco, Washington. Shirley M Pryor practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shirley M Pryor is 1083601264. The last update date is 2013-06-27.
Shirley M Pryor's current location address is 176 1st Ave N, Ilwaco, Washington. You can contact this provider via phone number 3606423747 and fax number 3606423361. The mailing address for Shirley M Pryor is 176 1st Ave N, Ilwaco, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley M Pryor |
|---|---|
| Address | 176 1st Ave N, Ilwaco, Washington |
| Phone Number | 3606423747 |
| Fax Number | 3606423361 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1083601264 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2013-06-27 |
Provider Mailing Address Detail
| Address | 176 1st Ave N |
|---|---|
| City | Ilwaco |
| State | Washington (WA) |
| Post Code | 98624 |
| Phone Number | 3606423747 |
| Fax Number | 3606423361 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30003770 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9616582 | WA | -- | |
| PR8034 | WA | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shirley M Pryor?
The Shirley M Pryor has been issued the NPI (National Provider Identifier) 1083601264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Shirley M Pryor is physically located?
The Shirley M Pryor is situated at the following address: 176 1St Ave N, Ilwaco, WA 98624.
What is Shirley M Pryor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shirley M Pryor is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Shirley M Pryor receive its 1083601264 assignment from the Centers for Medicare & Medicaid Services?
The Shirley M Pryor was assigned its 1083601264 by the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date were the details pertaining to Shirley M Pryor last refreshed?
The information related to the Shirley M Pryor, including its address, specialty, and other relevant details, was last updated on 2013-06-27.
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