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Individual
SUSHANIA RENEE PRYCE
Active
Individual
SUSHANIA RENEE PRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84817-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
84817
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326741646
—
WI
Enumeration date
03/24/2023
Last updated
07/10/2026
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