# PHYLLIS PRIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629454095
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 100234 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 100234 | MO | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 100234 | MO | — |

## Other

- **Enumeration date:** 08/07/2015
- **Last updated:** 09/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1629454095 | — | MO |