Nicholas James Pruett, PA-C is a surgical physician assistant in Coon Rapids, MN with 14 years of experience. Nicholas James Pruett, PA-C NPI is 1164737417. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11850 BLACKFOOT ST NW STE 490
COON RAPIDS, MN
ZIP 55433-773
Phone: (763) 427-1137
The NPI 1164737417 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 8/11/2010 and was last updated on 4/17/2019.