GLENDA FAYE PRUITT RN CFNP NPI 1679686257

NPI Information

NPI: 1679686257
Provider Name: GLENDA FAYE PRUITT, RN CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2505 JANE LN
ARLINGTON, TX
ZIP 76001
Phone: (817) 713-9849
Get Directions

Glenda Faye Pruitt, RN CFNP is a family nurse practitioner in Arlington, TX. Glenda Faye Pruitt, RN CFNP NPI is 1679686257. 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:

2505 JANE LN
ARLINGTON, TX
ZIP 76001-519
Phone: (817) 713-9849

The enumeration date for this NPI number is 8/16/2006 and was last updated on 5/20/2011.

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	220196	TEXAS	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
1	018845002	MEDICAID	TEXAS
2	167663701	MEDICAID	TEXAS
3	Q21894	MEDICARE UPIN	TEXAS

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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