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Contact Information

SHIRLEY M PRYOR, ARNP
176 1ST AVE N
PO DRAWER N
ILWACO, WA98624
 Phone: 360-642-3747
 Fax: 360-642-3361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHIRLEY M PRYOR · (Female)

NPI # 1083601264
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/03/2005
Last updated 06/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP30003770
  • WA Medicaid 9616582
  • WA Other PR8034 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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