MS. JULIE PRUETT NP NPI 1174575864

NPI Information

NPI: 1174575864
Provider Name: MS. JULIE PRUETT, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
NEOPLASTIC DISEASES
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-8927
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MS. Julie Pruett, NP is an acute care nurse practitioner in Milwaukee, WI with 31 years of experience. MS. Julie Pruett, NP NPI is 1174575864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9200 W WISCONSIN AVE
NEOPLASTIC DISEASES
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-8927
Fax: (414) 805-6815

The NPI 1174575864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		148831	WISCONSIN	No
2	363LA2100X	Nurse Practitioner	Acute Care	148831	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	039906261M	OTHER		HUMANA
2	1174575864	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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