Individual
MS. ANGELICA SHAVER PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1213 CULBRETH DR, WILMINGTON, NC 28405-3639
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005833
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915339
—
NC
Enumeration date
11/09/2012
Last updated
07/07/2016
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