| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Pryor, Christine | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Medicaid Provider ID: 1483925 | [sources] | |||
| NPI | 1275000184 | [sources] | |||
| Sector | N/A | [sources] | |||
| Status | not available | [sources] | |||
| Address | 137 Prairie Wood Drive S #302 Fargo, ND 58103 | [sources] | |||
| Last change | Last processed | First seen | |||
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States · NDHHS
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