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Individual

MS. ANDREA ALICIA PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1107 AUSTIN HWY, UNIT 6455, SAN ANTONIO, TX 78209-7716
(726) 228-9001
Mailing address
1107 AUSTIN HWY, UNIT 6455, SAN ANTONIO, TX 78209-7716
(726) 228-9001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
669535
TX

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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