Provider Demographics
NPI:1437485737
Name:PRYOR, CARMELLA MORROW (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CARMELLA
Middle Name:MORROW
Last Name:PRYOR
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4293 HIGHWAY 24 27 E STE D
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-8500
Mailing Address - Country:US
Mailing Address - Phone:704-888-2380
Mailing Address - Fax:704-888-2382
Practice Address - Street 1:4293 HIGHWAY 24 27 E STE D
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-8500
Practice Address - Country:US
Practice Address - Phone:704-888-2380
Practice Address - Fax:704-888-2382
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC205297163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult