Individual
MADELAINE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(601) 826-2386
Mailing address
135 N FRANKLIN AVE, COOKEVILLE, TN 38501-2319
(601) 826-2386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30974
TN
367500000X
Certified Registered Nurse Anesthetist
4028012
KY
Other
Enumeration date
01/05/2022
Last updated
04/28/2025
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