Pryor, Angelica Shaver

Pryor, Angelica Shaver is an individual health care provider with primary practice located at 1213 Culbreth Dr , Wilmington NC 28405-3639. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pryor, Angelica Shaver can be contacted via phone (910) 742-9243.

Contact Information

Primary practice address
1213 Culbreth Dr Wilmington NC 28405-3639
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5005833 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005833 North Carolina

Profile Details

NPI number 1497009617
LBN Legal business name Pryor, Angelica Shaver
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Jul 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497009617 NPPES
North Carolina MEDICAID 5915339

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