Organization
PRISM HEALTH CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE M GUSS NP (OWNER)
(248) 756-6025
Entity
Organization
Contact information
Practice address
1045 TACOMA AVE, APT 118, BISMARCK, ND 58504
(248) 756-6025
(248) 458-4154
Mailing address
220 E ROSSER AVE UNIT 544, BISMARCK, ND 58502-6656
(248) 756-6025
(248) 458-4154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704218575
MI
Other
Enumeration date
04/25/2014
Last updated
10/13/2022
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