Individual
NICOLE PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44 CLOVER ST, BROWNS MILLS, NJ 08015-2035
(609) 464-2817
Mailing address
44 CLOVER ST, BROWNS MILLS, NJ 08015-2035
(609) 464-2817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06545100
NJ
164W00000X
Licensed Practical Nurse
PN293779
PA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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