GWENDOLYN MICHELLE PRYOR


Address: 221 S Main St, Suite 201, Royal Oak, MI 48067-2653
Phone: 2483986459

GWENDOLYN MICHELLE PRYOR (NPI# 1932343308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932343308
Entity Type Individual
Full Name GWENDOLYN MICHELLE PRYOR
Credential N.P.
Practice Address 221 S Main St
Suite 201
Royal Oak
MI 48067-2653
Mailing Address 4341 Bristolwood Dr
Flint
MI 48507-3743
Practice Telephone 2483986459
Practice Fax Number 2483986265
Mailing Telephone 8107625913
Enumeration Date 2009-04-28
Last Update Date 2009-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704235826 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 221 S MAIN ST
SUITE 201
City ROYAL OAK
State MI
Zip Code 48067-2653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467053827 Rachel Ortega Nurse Practitioner 221 S Main St, Royal Oak, MI 48067-2653 2020-11-03
1750855169 Theresa Ann Fox Nurse Practitioner 221 S Main St, Royal Oak, MI 48067 2019-01-18
1548706807 Lisa Caffee Nurse Practitioner 221 S Main St, Royal Oak, MI 48067-2653 2017-01-11
1699225722 Patricia Imai Social Worker 221 S Main St, Royal Oak, MI 48067-2653 2016-10-13
1982159646 Sarah Tarbox-berry Psychologist 221 S Main St, Royal Oak, MI 48067-2653 2016-08-23
1386024487 Kristy Marie Byerly Nurse Practitioner 221 S Main St, Royal Oak, MI 48067-2653 2015-06-03
1881016418 Rachel Walsh Social Worker 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 2014-01-16
1629355425 Kendra Shackelton Social Worker 221 S Main St, Royal Oak, MI 48067-2653 2011-11-08
1073817110 Dawn Renee Fleck Counselor 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 2011-01-04
1770805277 Theresa Lambert Nurse Practitioner 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 2010-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922609072 George Edward Khamis Psychologist 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 2020-11-05
1205443751 Crossover Health Medical Group Clinic/Center 424 E. 4th St, Suite 100, Royal Oak, MI 48067 2020-09-29
1750917811 Sonia B Shah-gonzalez Case Management 830 E Fourth St, #1, Royal Oak, MI 48067 2020-03-19
1568022960 Woodo Pharmacy LLC Pharmacy 909 E 11 Mile Rd, Royal Oak, MI 48067 2019-06-18
1093217564 Sharon Diane Malinowski Occupational Therapist 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 2018-03-01
1962916569 Nuch of Michigan Inc Clinic/Center 2140 E 12 Mile Rd, Royal Oak, MI 48067 2017-11-20
1629420179 Christine Paige Homeopath 1112 Catalpa, Royal Oak, MI 48067 2016-07-08
1104277045 Rppc Labs, LLC Clinical Medical Laboratory 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 2016-06-22
1346606423 Thomas Michalos Counselor 402 S. Lafayette, Royal Oak, MI 48067 2016-01-05
1508234212 Valetta Aldridge Registered Nurse 28000 Woodward, Royal Oak, MI 48067 2015-09-11
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568913069 Melinda Ferstle Nurse Practitioner 400 Walnut Ave, Royal Oak, MI 48073-5309 2016-10-19
1679973101 Christina Poponea Nurse Practitioner 2208 Dallas Ave, Royal Oak, MI 48067-3580 2014-09-03
1255743993 Heather Soucey Nurse Practitioner 629 S Altadena Ave, Royal Oak, MI 48067-2825 2014-05-29
1245537273 Carlton I Dawes Nurse Practitioner 4711 Elmwood Ave, Royal Oak, MI 48073-1550 2011-02-28
1629131644 Beth L Valmassoi Nurse Practitioner 32121 Woodward Ave Ste 200, Royal Oak, MI 48073-0999 2006-12-19
1881166866 Senior Visits, LLC Nurse Practitioner 4711 Elmwood Ave, Royal Oak, MI 48073-1550 2019-01-01
1851743140 Anthony Fazi Nurse Practitioner 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073-6712 2016-07-11
1386024487 Kristy Marie Byerly Nurse Practitioner 221 S Main St, Royal Oak, MI 48067-2653 2015-06-03
1720488943 Tina Walny Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2014-08-25
1245593110 Tiffany Rechandra Johnson Nurse Practitioner 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 2012-06-16
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Competitor

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City ROYAL OAK
Zip Code 48067

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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