Provider Demographics
NPI:1043081243
Name:PRYOR, SEIARRA MARIE
Entity type:Individual
Prefix:
First Name:SEIARRA
Middle Name:MARIE
Last Name:PRYOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 CADDO AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1009
Mailing Address - Country:US
Mailing Address - Phone:216-678-2671
Mailing Address - Fax:
Practice Address - Street 1:948 CADDO AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1009
Practice Address - Country:US
Practice Address - Phone:216-678-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion