Provider Demographics
NPI:1568283273
Name:PRYOR, ARNETTA ELIZABETH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ARNETTA
Middle Name:ELIZABETH
Last Name:PRYOR
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2801 MCRAE RD STE 2B
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3056
Mailing Address - Country:US
Mailing Address - Phone:804-330-8101
Mailing Address - Fax:804-330-2938
Practice Address - Street 1:2801 MCRAE RD
Practice Address - Street 2:SUITE 2B
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-3101
Practice Address - Fax:804-330-2938
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024191591363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health