SANDRA L PRUETT CNP NPI 1750515649

NPI Information

NPI: 1750515649
Provider Name: SANDRA L PRUETT, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
55 WHITCHER ST NE STE 160
MARIETTA, GA
ZIP 30060
Phone: (770) 590-4180
Get Directions

Sandra L Pruett, CNP is an adult health nurse practitioner in Marietta, GA with 4 years of experience. Sandra L Pruett, CNP NPI is 1750515649. 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:

55 WHITCHER ST NE STE 160
MARIETTA, GA
ZIP 30060-160
Phone: (770) 590-4180
Fax: (770) 590-4186

The NPI 1750515649 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 5/7/2009 and was last updated on 11/14/2022.

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		L1-0017162	DELAWARE	No
2	363LA2200X	Nurse Practitioner	Adult Health	LB-0000225	DELAWARE	No
3	363LA2200X	Nurse Practitioner	Adult Health	AC001270	MARYLAND	No
4	363LA2200X	Nurse Practitioner	Adult Health	GAA-NP000964	GEORGIA	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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