BRENDA G PRUITT CRNP NPI 1477586337

NPI Information

NPI: 1477586337
Provider Name: BRENDA G PRUITT, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1701 MAIN AVE SW
SUITE A
CULLMAN, AL
ZIP 35055
Phone: (256) 737-0880
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Brenda G Pruitt, CRNP is a family nurse practitioner in Cullman, AL. Brenda G Pruitt, CRNP NPI is 1477586337. 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:

1701 MAIN AVE SW
SUITE A
CULLMAN, AL
ZIP 35055-299
Phone: (256) 737-0880

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	1033386	ALABAMA	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	Q51308	MEDICARE UPIN	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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