# SANDRA L PRUETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750515649
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | L1-0017162 | DE | — |
| 363LA2200X | Adult Health Nurse Practitioner | AC001270 | MD | — |
| 363LA2200X | Adult Health Nurse Practitioner | GAA-NP000964 | GA | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | LB-0000225 | DE | — |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 11/14/2022