Provider Demographics
NPI:1790571040
Name:PRYDE, NICHOLAS KURZ (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:KURZ
Last Name:PRYDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:ELK RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49629-0474
Mailing Address - Country:US
Mailing Address - Phone:248-892-8933
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 474
Practice Address - Street 2:
Practice Address - City:ELK RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49629-0474
Practice Address - Country:US
Practice Address - Phone:248-892-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program