Healthcare Provider Details

I. General information

NPI: 1437485737
Provider Name (Legal Business Name): CARMELLA MORROW PRYOR RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4293 HIGHWAY 24 27 E STE D
MIDLAND NC
28107-8500
US

IV. Provider business mailing address

4293 HIGHWAY 24 27 E STE D
MIDLAND NC
28107-8500
US

V. Phone/Fax

Practice location:
  • Phone: 704-888-2380
  • Fax: 704-888-2382
Mailing address:
  • Phone: 704-888-2380
  • Fax: 704-888-2382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number205297
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: