TERRI AMANDA PRUITT APRN-CNP NPI 1538654405

NPI Information

NPI: 1538654405
Provider Name: TERRI AMANDA PRUITT, APRN-CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 458-3100
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Terri Amanda Pruitt, APRN-CNP is a women's health nurse practitioner in Tahlequah, OK with 7 years of experience. Terri Amanda Pruitt, APRN-CNP NPI is 1538654405. 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:

100 S BLISS AVE
TAHLEQUAH, OK
ZIP 74464-512
Phone: (918) 458-3100

The NPI 1538654405 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 6/24/2018 and was last updated on 6/24/2018.

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	363LW0102X	Nurse Practitioner	Women's Health	88775	OKLAHOMA	Yes

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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