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Individual
SANDRA L PRUETT
Active
Individual
SANDRA L PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0017162
DE
363LA2200X
Adult Health Nurse Practitioner
AC001270
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
GAA-NP000964
GA
363LA2200X
Adult Health Nurse Practitioner
LB-0000225
DE
Other
Enumeration date
05/07/2009
Last updated
11/14/2022
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