Healthcare Provider Details

I. General information

NPI: 1225566557
Provider Name (Legal Business Name): AVRIL MERLE PRYCE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 05/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 CLARKSON AVE
BROOKLYN NY
11203-2125
US

IV. Provider business mailing address

551 E 80TH ST
BROOKLYN NY
11236-3122
US

V. Phone/Fax

Practice location:
  • Phone: 718-221-7917
  • Fax:
Mailing address:
  • Phone: 347-677-4731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number446900-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: