Healthcare Provider Details

I. General information

NPI: 1083834592
Provider Name (Legal Business Name): MEKA SAMM CAFFEY PRYCE ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2190 S STATE ST
ANN ARBOR MI
48104-6106
US

IV. Provider business mailing address

2190 SOUTH STATE ST
ANN ARBOR MI
48104
US

V. Phone/Fax

Practice location:
  • Phone: 734-730-2265
  • Fax:
Mailing address:
  • Phone: 734-730-2265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000364
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: